Northeastern University Request Diploma Form PDF Details

For graduates of Northeastern University who find themselves in need of a new copy of their diploma, the Northeastern University Request for a Replacement Diploma form presents a straightforward solution. Located at 230 Cushing Hall, 360 Huntington Avenue in Boston, Massachusetts, the commencement office facilitates this process which, upon approval, results in the dispatch of a replacement diploma within an estimated period of 3-5 weeks. It's crucial for applicants to understand that these replacement diplomas will mirror the signatures of the current university administration and will be explicitly marked as "Replacement" on their reverse side, ensuring transparency and authenticity. This procedure requires the submission of a form, accompanied by a $50 fee, and demands details such as the graduate's name as it originally appeared on the diploma, student identification or Social Security number, date of birth, the college from which they graduated, the degree issued, and the major, provided that the degree was conferred from 2010 onwards. Additionally, graduates have the option to highlight any honors received. Alongside personal and contact information, the form solicits the reason behind the request for a replacement diploma, ensuring a personalized and efficient service. Payment can be processed via various methods, detailed in the completion section for the commencement office's use, highlighting the seamless integration of traditional and modern payment systems to facilitate this essential service for its alumni.

QuestionAnswer
Form NameNortheastern University Request Diploma Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnortheastern university replacement, diploma replacment northeastern university boston, commencementneu, northeastern university diploma

Form Preview Example

Request for a Replacement Diploma

230 Cushing Hall • 360 Huntington Avenue, Boston, MA 02115 • Tel: 617.373.4098 • Fax: 617.373.8530 • commencement@neu.edu

Date: _________________________

Once the request for the replacement diploma is approved, it will take approximately 3-5 weeks before the

diploma is ready and mailed out to you. Replacement diplomas may reflect signatures of the current administration. Please note that the diploma will be clearly marked “Replacement” on the back side of the

diploma.

Complete the following information and return with $50 fee (check made payable to Northeastern University) in the enclosed envelope or by faxing to the number noted above.

Print clearly

Name (as it appeared on the original diploma) ____________________________________________________________

Student ID/Soc. Sec. # _____________________________________Date of Birth: ___________________

College Graduated from ___________________________________________________________________

(i.e.: College of Engineering, College or Arts & Sciences, University College, Graduate School of Business Administration, e tc.)

Degree Issued __________________________________________________________________________

Major (only if your degree was conferred in or after the year 2010) ________________________________________

Circle if applicable:

Honors High Honors Highest Honors

Month & Year Graduated

__________________________________________________________________

Reason for request:

__________________________________________________________________

Daytime Phone Number

____________________________________________

Home Phone Number

____________________________________________

E-mail Address

____________________________________________

Address to mail diploma to

________________________________________________________________

 

________________________________________________________________

 

________________________________________________________________

Signature (REQUIRED): ______________________________________________Date: __________________________

TO BE COMPLETED BY THE COMMENCEMENT OFFICE

DATE RECEIVED: _______________________by: _______________________________

PAYMENT RECEIVED: Check # _____________________________________________

BURSAR APPROVAL: per ________________________ Date: ___________________

DIPLOMA INFORMATION VERIFIED per_______________Date: _________________

REPLACEMENT DIPLOMA MAILED (Date): ______________________

MASTERCARD / VISA / DISCOVER / AMERICAN EXPRESS / COLLEGE CARD

(circle one)

DATE: ____________ CARDHOLDER NAME __________________________________________

CREDIT CARD NUMBER: __________________________________________________________

EXP. DATE / VALID DATES: _______________________ AM/EX C.I.D.#:__________________

BILLING ADDRESS: _______________________________________________________________

CITY/TOWN: ___________________________STATE: _____________ZIP CODE:____________

PHONE #: ________________________________

I.D.. # _______________________________

AMT. OF CHARGE: $50.00

 

 

STUDENT NAME: _________________________________________________________________

IN PAYMENT FOR:

Replacement Diploma