2021 Consent for Diploma Pick Up On My Behalf

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2021 Consent for Diploma Pick Up On My Behalf

This form is to be completed ONLY if you are unable to pick up your diploma yourself. In completing the form, you are granting the school consent to provide your diploma and transcript, and the personal information included within, to the following individual.

* Indicates required question

Student Name *

Your answer

Student Email Address *

Your answer

Name of person authorized to pickup for you *

Your answer

Email address of authorized person

Your answer

Submit

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