RO

-017

/Rev

ised

: TL-04

/2020

Office use only

LaGuardia Community College - Office of the Registrar

Diploma Reorder

PLEASE PRINT CLEARLY

CUNYfirst EMPL ID#

Last Name First Name Middle Initial

Date:

Signature from Pick-up: Date:

E-mail address:

Date of Graduation:

Student's Signature:

A.A. A.S. A.A.S.

There is a $30 fee to reorder a diploma. Diplomas are ordered at the end of each session. You will be notified by mail as soon as your diploma is available to be picked up. INSTRUCTIONS

1. Print name clearly for diploma (Note: Your diploma will be ordered under the name shown onyour LaGuardia Records. If you have changed your name, you must submit a Personal DataChange Request with the corresponding documents.)

2. Pay $30 at the Bursar’s Office, room C-110.3. Return to the Registrar’s Office, room C-107 with proof of payment and this form.4. Reordered diplomas will be stamped DUPLICATE on the back.

D iploma Ordered on:

N otification sent on:

(attach a copy of Bursar receipt) Amount Paid $

Diploma received on:

V erified by:

Date:

Date:

Pick-Up Verification

Student's Signature: Date:

Bursar Cleared Financial Aid Cleared Library Cleared

Phone №

Major (Plan):

Name while in Attendance

Certificate Degree Earned: