BSB_Graduation Request 1 Revised 04/02/2021
Graduation Request (USA)
After completing all required courses, email this form with appropriate payment to, or mail or fax to
Global University at the address above, to the attention of USA Student Services.
For questions regarding your graduation request please contact For questions about Global
Universitys next commencement ceremony, visit or email
Student information (Please clearly print)
Student name as it should appear on diploma:
Student ID: ________________________________
Address: ____________________________________________
City State/Province
Postal Code Country
Primary Phone: _______________________________________
Other Phone: _________________________________________
Email: _______________________________________________
Date of Birth: ________/ _________ / ________
Program of Study
Ministerial Studies Certicates
Level One
Level One Leadership Honors
Level Two
Level Two Leadership Honors
Level Three
Level Three Leadership Honors
Church Volunteer Service
Ministerial Studies
Ministerial Studies with Leadership Honors
Bible and Doctrine
Church Ministries / Momentum Training
Royal Rangers
Payment Method
$30 per certicate or diploma
Total: __________
 Send Paypal invoice
 Check enclosed Check number: ________________________________________
Please bill my credit card: Visa MasterCard Discover
Credit card number: ___________________________________________________________________________________________
Name as it appears on card: ________________________________________________ Expiration date: _____________________
Allow two weeks for processing. A copy of your transcript will be included with your graduation documents.
Padded diploma covers are presented to graduates during GU’s commencement ceremony. Students not planning to attend
the ceremony may purchase a diploma cover at
1211 S. Glenstone Avenue, Springeld, MO 65804 USA • Telephone: 1-800-443-1083 USA; 417-862-9533 Outside USA
Fax: 417-862-0863 • Web: • Email:
$ 0.00