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AUCHU-AA's Grade Graduation Package/Diploma Request (All grade levels)
AUCHU-AA  Homeschooling Graduates

**COMPLETE A FORM FOR EACH STUDENT OR PARENT**

***NO DIPLOMAS OR PARENT CERTIFICATES WILL BE PROVIDED AFTER FRIDAY, MAY 29, 2027***

Graduation Package:

$25: ALL GRADE LEVEL STUDENT DIPLOMAS
$20: WELL DONE HOME EDUCATOR'S CERTIFICATE

INCLUDES:
*AUCHU Diploma signed by AUCHU owner/director/administrator
*Diploma cover
*Signature line for the home educator to sign
*Students name and homeschool name


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Email *
Student's **FULL NAME** as to appear on diploma *
Example: Jonathan Lewis Jackson
Graduation date (month/day/year) *
Example June 6, 2025 or 6.6.25
By what date would you like to receive your  diploma? *
Example: May 1, 2025 or 5.1.25
Name of Homeschool (if applicable) *
Parent's Name *
Include BOTH Parents names that will appear/sign the diploma
You current Email address: *
Current Mailing Address:  HOUSE NUMBER AND STREET NAME *
Current Mailing Address: CITY/TOWN NAME *
Current Mailing Address: ZIP CODE *
Verify Address: *
PHONE NUMBER with AREA CODE *
PHONE NUMBER with AREA CODE (verify) *
Describe the type of diploma your student will be receiving. *
Students with special needs can be issued a Certificate of Attendance. That decision is up to the parent.
What is your student's **CURRENT** GRADE LEVEL? *
Home Educators 'Well Done' Celebration Certificate: $20
Clear selection
How should the **Home Educator's Name** appear on the Home Educators 'Well Done' Celebration Certificate?
Prove **EACH HOMESCHOOL STUDENT'S FULL NAME** that should be included on your EDUCATORS' 'WELL DONE CELEBRATION CERTIFICATE.'
Message or Special Notes:
Indicate any detailed information you feel should be clarified as it relates to the information you provided on this form.
Method of Payment: *

Purchase of graduation package/diploma/certificate transaction is **NOT** complete until payment is received and confirmation is sent to you.
Method of Payment HOME EDUCATORS CELEBRATION CERTIFICATE:

Purchase of graduation package/diploma/certificate transaction is **NOT** complete until payment is
received and confirmation is sent to you.
Clear selection
What is the total amount you will be paying? *

Student graduation diploma and/or Home Educator's Celebration Certificate.

**NOTE:
A separate graduation diploma form should be completed for EACH STUDENT. You can pay for all diplomas AT ONE TIME/ONE TOTAL AMOUNT.

Home Educator's Celebration Certificate..... only purchase one. All of your student's names will be included on the one certificate.

You, the parent, certify that all information included on this form is accurate, correct and documented in your homeschooling records for this student. And if needed verification of this information may be provided:  ***Parent Signature** *
Type your full name
A copy of your responses will be emailed to the address you provided.
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