AUGUSTA TECHNICAL COLLEGE
REQUEST FOR DIPLOMA
Complete this form to request a copy of your Degree, Diploma, or Technical Certificate of Credit.
Processing Time is 2 – 4 weeks
You may return the completed form to the Office of Student Records or email to student.records@augustatech.edu.
IMPORTANT:
If you are currently enrolled in courses to complete your credential, the processing time for your diploma request
cannot begin until after grades have been posted for the term.
The duplicate diploma fee is $25 per duplicate credential requested.
o Processing of duplicate diploma requests cannot begin until after the duplicate fee is paid.
o All credentials awarded prior to January 1992 are considered duplicate diplomas.
o The duplicate fee can be paid in Student Accounts in the 100 building or in the Campus Store.
Diplomas for pickup will only be held for 30 days before they are mailed to the address provided.
NAME: ____________________________________________ SSN/STUDENT ID: __________________________
EMAIL: ___________________________________________ PHONE NUMBER: _________________________
MAILING ADDRESS:
STREET: ___________________________________________________________________________________________
CITY: _______________________________ STATE: ________________ ZIP CODE: __________________________
PROGRAM OF STUDY: _____________________________________________________________________________
Specialization if Applicable: _____________________________________________________
CHECK ONE: Degree Diploma Certificate
2
nd
PROGRAM OF STUDY: ___________________________________________________________________________
Specialization if Applicable: _____________________________________________________
CHECK ONE: Degree Diploma Certificate
I WILL PICK UP MY DIPLOMA (You will receive a phone call when your credential is available for pickup.)
_______ Augusta _______ Grovetown ________ Thomson ________ Waynesboro
MAIL MY DIPLOMA TO THE ADDRESS ABOVE
SIGNATURE: ________________________________________________DATE: ________________________
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