App. For Replacement Diploma (PDF)

Application for Replacement Diploma

Proof of identity is required to reprint a diploma. If your name is different from when you graduated from VGCC, please indicate that on the form.
Full Legal Name*

First NameMiddle NameLast Name
If your name is different than when you graduated from VGCC, you must provide legal proof of your name change.
Name on Original Diploma if Different from Above

First NameMiddle NameLast Name
Student ID Number*
Social Security Number (Voluntary)
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone No*
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Major / Program*
Student Signature*

Clear
Please upload proof of Identity (Copy of Driver's License, State ID or other Photo ID)*

Cancelof
After the Application for Replacement Diploma is received the $20 charge will be added to your account.

Payment options:
- By mail with check or money order. Please include a copy of this application with your check and mail to: VGCC-Registrar’s Office PO Box 917, Henderson, NC 27536
- Pay in person at any VGCC campus using cash or check.
- Online through your myVGCC account if you are a recent graduate (within 5 years) and can still access your myVGCC login.
- Pay by phone - call the Business Office at 252-738-3237 to arrange to pay through a secure phone line.
The diploma will not be reprinted until payment is received. The diploma will be mailed to the address on this form. Please allow 4-6 weeks for delivery.

If you have questions, please email registrars@vgcc.edu.
Should be Empty:

Application for Replacement Diploma