I hereby acknowledge receipt of my diploma(s)/certificate(s) and find it accurate and complete.
In Person Receipt of Diploma/Certificate
Purpose: Used by graduates to pick up diploma(s)/certificate(s) at Marquette Central. Graduates with a financial obligation to the University are not eligible to obtain diploma(s)/
certificate(s) until the obligation is satisfied.
Student Instructions
1. Complete Section 1 & 2 of this form using a computer.
2. Print the form using the 'Print Form' button.
a. a handwritten form will not be accepted.
b. an incomplete form will not be processed and will be returned to you for completion.
3. Sign the form in Section 3; a digital signature is not acceptable.
4. Indicate all diplomas and certificates received in Section 2.
5. Submit this form to Marquette Central with an official photo ID.
Rev. 1/2017
DateSignature
Hand Deliver: Marquette Central, Zilber Hall, Suite 121, 1250 West Wisconsin Avenue, Milwaukee, WI 53233
Section 1: Graduate Information
Section 3: Graduate statement/signature
Section 2: Diploma/Certificate Information
EmailMUID
Degree
(e.g, BS)
Graduation Date College/School
College/SchoolGraduation DateDegree
College/School
College/SchoolGraduation DateCertificate
Graduation Date
Certificate
(e.g, Digital Storytelling)
DOB
MM/DD/YYYY
@marquette.edu
Include diploma cover
Yes No
Name while attending Marquette
Name as it appears on the diploma/certificate
Name
