Diploma Request Form - Veritas Baptist College

Date*

Student Name*

As it is to appear on the diploma.

First Middle Last Suffix

Student Maiden Name (if applicable)

First Last

Email*

Phone*

Address For Diploma to Be Mailed*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Graduation Date*

Comments

Agreement*

I understand that diplomas will be printed with Veritas Baptist College and the current administration's signatures.
I understand that I must pay the $40 Diploma Fee or the $200-$250 Program Completion Fee before the diploma will be ordered.