Fillable REPLACEMENT DIPLOMA APPLICATION (Seattle Central College)

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REPLACEMENT DIPLOMA APPLICATION (Seattle Central College)

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REPLACEMENT DIPLOMA APPLICATION
INSTRUCTIONS TO APPLICANT:
1. Complete this request form.
2. If you are on campus, submit this form to the Cashier’s Office and pay the $15.00
per
diploma fee. If you are off campus, send this form and payment to the Registration
Office. If you are paying with a credit or debit card, fill out and submit the Credit Card
Payment form. You can also pay via check (made payable to “Seattle Central College”).
Mail:
Seattle Central College
Registration Office
1701 Broadway, Room BE1104
Seattle, WA 98122
Fax:
1-206-934-5563
Email:
Registration.Central@SeattleColleges.edu
3. Your diploma(s) will be available in approximately one week.
Student ID Number or SSN
Full Name (Must match our records)
Delivery Preference:
___I will pick up my diploma(s) at the Registration Office’s front counter.
Please bring photo identification with you (i.e. a student ID card, driver’s license, etc.).
___Mail my diploma(s) to the address provided below.
Mailing Address (if applicable)
City
State
ZIP Code
Phone Number
Email Address
SIGNATURE Date
Graduation Date: □ Summer □ Fall □ Winter □ Spring Year:______
Award(s) Requested (Indicate the quantity below):
___Associate of Science Degree
___Associate in Business Degree
___Associate in Nursing Degree
___Associate of Applied Science Degree in ___________________________
___Certificate of Achievement in ___________________________
___Bachelor of Applied Science Degree in ___________________________
* This does not include GED certificates. For GED certificates and transcripts, please visit https://ged.com/.
Questions? Please call 206-934-6918.
Transcript Fees Budget: 023-148-063-2408-0430 Revised 09/2018
SEATTLE CENTRAL COLLEGE – DIVISION OF REGISTRATION AND RECORDS
1701 Broadway, Room BE1104 Seattle, Washington 98122
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REPLACEMENT DIPLOMA APPLICATION (Seattle Central College)

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Completed 29 January 2021

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