Diploma Request Form

Current: Diploma Request Form » Billing » Review » Finish

Diploma Fees: $100 payment is due upon request. Allow 4-6 weeks for processing. The University will not issue diplomas until all past due balances have been paid.

First Name: Required Field

Last Name: Required Field

Primary E-mail: Required Field

Preferred Name on Diploma:

Please call the Registrar at 415-458-3750 if you need to verify your ID number.

Dominican ID #: Required Field

Primary Phone Number: Required Field

Mailing Address

Address 1: Required Field

Address 2:

City:

State:

Zip:

Diploma Information

Starting Date of Attendance: Required Field

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Graduation Date: Required Field

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What degree did you receive? Required Field

Major:

Additional Major/Minor Info:

Degree:

Hold diploma for pick up: Required Field

Payment

Payment Due: Required Field

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Contact Us

Alumni Relations

50 Acacia Avenue

San Rafael, CA 94901

P: 415.485.3240
alumni@dominican.edu