Fillable Replacement Diploma Request (Cambridge College Massachusetts)

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Replacement Diploma Request (Cambridge College Massachusetts)

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  • 17 check-boxes
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File type: PDF

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Replacement Diploma Request
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Phone: 617.873.0101
Fax: 617-242-0026
registrar@cambridgecollege.edu
Processing time is 6-8 weeks
Student information
PLEASE PRINT CLEARLY and COMPLETE ALL INFORMATION
Student name at time of graduation, on original diploma
Last name _________________________________________ First name _________________________________ Middle name _________________________
Former name--at time of graduation, if dierent from current name above _________________________________________________________________________
Current Residence/mailing address:
Address ______________________________________________ Apt ________________________ Phone _________ _________________________
City ______________________________ State _______________ Zip _____________________
Degree and Year of Graduation
Type of degree AS BA / BS MED MS MBA / MM CAGS EDD PHD
Year of graduation/degree conferral ____________________
Please note: Diplomas are not printed on-site. Your name will be added to the next order once we
receive all requested information, and the orders are typically sent out to the printers once a month.
Email or mail completed and signed form to:
registrar@cambridgecollege.edu
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
01/04/21
Signature
on paper printout or electronic* _______________________________________
Date _____________________________________________________________
*Please see electronic signature options on the Registrar's web page
.
Student ID#________________________
Your Cambridge College Location
Boston
Lawrence
Springeld
Puerto Rico
Southern California
NEIB
Other_____________
Payment
Credit card e-check
Credit card and e-check payments must be made online via the link below. We
cannot take payment over the phone.
https://cambridgecollege.aord.com/PPT/MakeAPayment
(If the link doesn’t bring you directly to the diploma ordering portal, select “Transcript
and Diploma Payment” from the “Make a One-Time Payment” dropdown, then click
the blue “Make a One-Time Payment” rectangle.)
IMPORTANT:
Please include your conrmation number: _____________________
By signing this form, I agree to pay $27.00 for the requested duplicate
diploma
, and for Cambridge College to charge my credit card below
accordingly. I agree to receive the diploma by standard USPS mail only, unless
other arrangements are made.
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Replacement Diploma Request (Cambridge College Massachusetts)

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Completed 20 May 2021

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