Diploma Replacement Request Form

Diploma Replacement Request Form

Please contact the Registrar's Office at 251.626.3303 or registrar@ussa.edu with any questions or concerns. Payment for replacement diplomas must be received before any request in processed.
Name while attending the United States Sports University/Academy*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Last four digits of Social Security # or Student I.D. #*
Graduation Date*
Will you pick up your diploma or have it mailed?*

Pick-up (Note: Our office will contact you via email or phone when your diploma is completed.)Mail (Note: Your diploma will be delivered through USPS certified mail. Please plan to have someone present at your address to sign and accept the package. The length of time for the arrival of your diploma will vary.)
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
SMS / Text Message Opt-In

Yes, I agree to receive SMS/Text messages from the United States Sports University for notifications, alerts, and updates. Message frequency varies. Message and data rates may apply. Reply STOP to unsubscribe.
View our Privacy Statement and SMS/Text Messaging Terms and Conditions.
Desired University Name on Diploma*

United States Sports UniversityUnited States Sports Academy
Name as you wish it to appear on your Diploma*
Product*
prevnext( X )
Replacement Diploma
Enter description

$35.00 Quantity
Item subtotal:$0.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: