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Diploma Request Form

Please submit the following form to receive your 8th grade or High School Diploma. Please allow up to 2 weeks processing time. If you have any special requests, be sure to include them in the additional notes at the end of this form.

Will you be attending the virtual graduation this June? *

Yes

Please enter your student's name as you would like it to appear on the transcript and diploma:

Student's Name (as you would like it on the diploma): *

Parent First Name(s) *

Parent Last Name(s) *

Mailing Address *

Address Line 2

City *

State

Zip Code

Phone Number *

Parent Email Address *

Student's Email Address

Does the student have a Parchment account using student's personal email address so that it will still be accessible for transcript requests after graduation? *

Yes

Grade Completed: *

8th Grade

12th Grade

Graduation Year: *

2016

2017

2018

2019

2020

2021

Other Other

Diploma Type *

Summa cum Laude

Magna cum Laude

Standard

Graduation Date: * +

Other comments:

After graduation, I plan to: *

Attend a 4-year college

Attend a 2-year college

Enter the workforce

Take a gap year

Enter the military

Enter the seminary or religious life

Other: Other:

Which college or university will you be attending? *

I was accepted at the following schools:

Please list the name and value of any scholarships you received:

Which college standardized tests did you take? *

SAT

ACT

CLT

None - I did not take any of the above tests.

What was your highest SAT Evidence Based Reading & Writing (ERW) Score? *

What was your highest SAT Math Score? *

What was your highest ACT composite score? *

What was your highest CLT score? *

Please indicate how you would like your name to be announced and listed in the graduation program. *

How should your student's name be pronounced? *

Please upload a picture of the graduate for the graduation slideshow.

Notes