Replacement Diploma or Certificate Request

Replacement Diploma or Certificate Request

This form is for any past Otero College student who needs to order a replacement diploma or certificate. NOTE: Any current student needing a diploma MUST fill out a full graduation application.
Print full legal name as you want it to appear on your diploma or certificate.
Full Name*

First NameMiddle NameLast Name
Your Student S #:*
(N/A if you don't have one)
If you didn't have a S# or don't remember your S# and entered N/A above please fill out the following information:
Date of Birth:
Number
Las Four Digits of Your SSN:
Dates You Attended College:
Email*
example@example.com
Permanent Mailing Addres:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Degree/Certificate*

Associate of Arts TransferAssociate of Science TransferAssociate of General Studies Non-TransferAssociate of Applied Science Non-TransferCertificate Non-Transfer
If you choose Associate of Applied Science or Certificate please enter your emphasis.
Emphasis
All diplomas are a $20 charge and will be billed to your account when your diploma is ordered. If you have any questions about this form please contact Student Affairs at (719) 384-6831.
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