DIPLOMA ORDER FORM
Students/Parents: Please use this form to indicate how the student’s name should be printed on their high school
diploma. You should give the student’s LEGAL name as it appears on his/her birth certificate.
A few points to keep in mind:
 ALL diplomas are ordered for graduation in June. This includes diplomas for early graduates.
 Include all accents, hyphens, dual middle names or surnames, and suffixes.
 Be sure to check spelling!! If a new diploma must be ordered due to spelling errors on your part, you will
be charged a reprint fee of $20.
Please PRINT your name below. Both student and parent must sign to verify the name.
First Name
Middle (if applicable)
Student Signature
Last Name
Parent/Guardian Name (Please print)
Parent/Guardian Signature
**Please return to BRANDY PETERS in the 2104 by NOVEMBER 2, 2015**
DIPLOMA ORDER FORM
Students/Parents: Please use this form to indicate how the student’s name should be printed on their high school
diploma. You should give the student’s LEGAL name as it appears on his/her birth certificate.
A few points to keep in mind:
 ALL diplomas are ordered for graduation in June. This includes diplomas for early graduates.
 Include all accents, hyphens, dual middle names or surnames, and suffixes.
 Be sure to check spelling!! If a new diploma must be ordered due to spelling errors on your part, you will
be charged a reprint fee of $20.
Please PRINT your name below. Both student and parent must sign to verify the name.
First Name
Middle (if applicable)
Student Signature
Last Name
Parent/Guardian Name (Please print)
Parent/Guardian Signature
**Please return to BRANDY PETERS in the 2104 by NOVEMBER 2, 2015**