DUPLICATE DIPLOMA REQUEST FORM There is a $15.00 Duplicate Diploma Fee. The fee may be paid in person with cash, check, or credit/debit card at any Valencia College campus Business Office or you may mail this form, with a check or money order attached, to: Valencia College Graduation Office, P.O. Box 3028, Orlando, FL 32802-3028. Your Duplicate Diploma will be mailed to you at the address indicated in your Atlas account; you are responsible for ensuring that Atlas contains your most current address. Please allow up to thirty (30) business days (not including weekends or holidays) for your Duplicate Diploma request to be processed (this includes the time needed for a personal check to clear as well as the printing of the diploma). Diplomas are printed and mailed on Fridays (excluding holidays). STUDENT INFORMATION: Name on Valencia Record: Valencia ID Number (VID) or Social Security Number: Previous Last Name(s): Address (Note: your Duplicate Diploma will be mailed to the address indicated on your Atlas account): City, State Zip Telephone Number: Secondary Telephone Number: Personal E-mail Address: DEGREE INFORMATION: Term/Year Your Degree Was Awarded: Degree Awarded (Associate in Arts, etc.): Program of Study (General Studies, Business, etc.): Was this an Honors Degree? Name as you want it to appear on the Duplicate Diploma: Comments:
❑ Yes ❑ No
STUDENT SIGNATURE
DATE
OFFICE USE ONLY Processed by:
Degree Type:
Degree Date:
o AP
o PS
Date Mailed: © 2011 Valencia College/ADM072011-05