Rec’d By: Via:
Date:
Solano Community College
Petition for Reprint of AA / AS /AD-T Degree or Certificate
Read and initial the information below before completing application. Check for accuracy before submitting.
Please allow 5-10 business days for processing.
1. I understand there is a $15.00 fee for each degree/certificate to be reprinted, which must be paid in full
pri
or to processing reprints.
2. I understand that all holds and fees must be cleared before my request will be completed.
3. I understand SCC may require more documentation be made available to them prior to issuing a reprint.
I hereby request a reprint of my AA degree AS degree AD-T degree
Certificate
(refer to SCC transcripts for degree type and title)
Degree Awarded in: Summer Fall Spring
20
(YEAR)
(Required) SCCID:
Last Name in System: _______________________________________ First Name in System: ____________________________ MI ____
DOB: - - Phone: ( )
Email: _______________________________________________________________________
Full name as you wish for it to appear on your degree
(PRINT CLEARLY)
Mailing address to receive diploma
City State Zip
Title of Degree to be Reprinted
Office Use Only
1.
A.A./A.S./ADT
2.
A.A./A.S./ADT
3.
A.A./A.S./ADT
Title of Certificate to be Reprinted
Office Use Only
1.
2.
I certify that the information contained in this application is true and accurate to the
best of my knowledge.
X
Student Signature Required
FOR OFFICE USE ONLY
Verify degree/cert was awarded in Banner: Yes No (initial)
Posting $15.00 per reprint of degree/cert: Entered in Banner (Initial) (date)
Mailed (Initial) (date)
Picked up by student (Initial) (date)
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