UOPUS-GradApp

DIPLOMA APPLICATION
A Diploma Application must be submitted in order for a degree to be conferred and for a diploma with a degree-posted transcript to be printed.
Please allow at least 30 business days to process your degree.

NAME (AS CONSISTENT WITH YOUR OFFICIAL EDUCATION RECORDS)
FIRST

MIDDLE

LAST

IRN

NAME (AS YOU WOULD LIKE IT TO APPEAR ON YOUR DIPLOMA)
FIRST

MIDDLE

Name Change (Check if applicable)
LAST

If you have had a name change since your application to the University, you must provide the University with legal documentation (such as a court petition, marriage license, or divorce decree) of your new name. Copies must accompany this application if not previously submitted.

PERMANENT ADDRESS (PLEASE COMPLETE IN FULL FOR ALUMNI AND REGISTRAR’S OFFICE PURPOSES)
Address Change (Check if different from existing education records)

Please include area code:

Address

Home Phone Number: (

)

City/State/Zip

ADDRESS TO MAIL DIPLOMA
Street
City/State/Zip

EMPLOYER INFORMATION
Employer:

Job Title:

Employer’s Address

Work Phone Number: (

)

ADDITIONAL DIPLOMA OR TRANSCRIPT
Additional diploma

Yes

Additional transcripts

Yes

Please note that the University will provide you with a courtesy degree posted transcript that will be mailed to your home address separate from your diploma via USPS.

Quantity ($30.00 each)
Quantity

Master of Business Administration (MBA 021) Students Only
I have met the requirements and would like to have the following concentration(s) documented on my official transcript.
Accounting (ACC)

Energy Management (EM)

Global Management (GM)

Health Care Management (HCM)

Human Resource Management (HRM)

Marketing (MKT)

Project Management (PM)

Small Business Management (SBM)

Technology Management (TM)

I do not want a