Enrollment Management & Student Success
Admissions and Records
UOG Station, 303 University Drive, Mangilao, Guam 96913 Tel. (671) 735.2201 Fax. (671) 735.2203
A Land Grant Institution accredited by the Western Association of Schools and Colleges
An Equal Opportunity Employer and Service Provider
UOG STUDENT ID #: BIRTHDATE:
FULL NAME:
LAST FIRST MIDDLE MAIDEN (IF APPLICABLE)
MAILING ADDRESS:
EMAIL: PHONE #:
DEGREE EARNED: YEAR EARNED:
MAJOR:
I WISH TO HAVE MY NAME APPEAR ON MY DIPLOMA AS FOLLOWS: (PLEASE PRINT)
DELIVERY:
SELF PICK-UP OR MAY RELEASE TO:
TO BE MAILED (ADDITIONAL FEES APPLY):
FEES:
DIPLOMA - $49
MAIL TO U.S.A. - $15.60 (UNDERGRADUATE) / $20.50 (GRADUATE)
*POSTAL RATES TO INTERNATIONAL DESTINATIONS VARY. PLEASE CONTACT ADMISSIONS AND RECORDS OFFICE FOR CURRENT FEE.
SIGNATURE: DATE:
AMOUNT RECEIVED: ____________ RECEIPT NO.: ____________ INITIALS: ____________ DATE: ____________
DIPLOMA REPLACEMENT REQUEST
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signature
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