Mail to: UNC at Pembroke
              Office of the Registrar
              P.O. Box 1510
              Pembroke, NC 28372
or Fax:  910-521-6328
Print name as it should appear on your diploma
(Your name will appear on your diploma as it does in our student information system records. If your name as changed since you graduated, you must complete a Name Change Request Form.)
Name at time of Graduation   Graduation Date
Email Address Telephone Number What was your major?
Address Diploma is to be mailed
PO Box/RFD/Street City State Zip Code
Type of Degree    
(BA) Bachelor of Arts
(BM) Bachelor of Music
(BS) Bachelor of Science
(BSN) Bachelor of Science in Nursing
(BSW) Bachelor of Social Work
(MA) Master of Arts
(MS) Master of Science
(MAE) Master of Arts in Education
(MBA) Masters in Business Administration
(MPA) Masters in Public Administration
(MSA) Master of School Administration
Honors Received    
Summa Cum Laude
Magna Cum Laude
Cum Laude
University Honors College
Chancellor's Scholar
Applicant Signature   Date
Cashier Signature Receipt Number Date
Office Use Only
_____________ Semester hours earned toward degree
_____________ Degree awarded date
_____________ Major
$25.00 for Duplicate Diploma
$10.00 for Diploma Cover




This publication is available in alternative formats upon request. 
Please contact Disability Support Services, DF Lowry Building, 521-6695.

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