Replacement Diploma Order Form
Use this form to request a replacement diploma
Student Information
First Name *
Your answer
Last Name *
Your answer
Student ID# or SSN *
Your answer
Address *
This is where the new diploma will be mailed
Your answer
Contact information *
Please provide an email address or phone number we can use to contact you
Your answer
Diploma Information
Name as it should appear on diploma *
This should be the name that was used while enrolled
Your answer
Payment Information
You can call our Business Office at 405-878-5415 and pay with a credit card or mail a check/money order to
St. Gregory's University
1900 W. MacArthur
Shawnee, OK 74804

Once we have received payment, the order will be processed

Please select the payment option you will be using? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms