Class of 2019 Diploma Form

Class of 2019 Diploma Form

Class of 2019 Diploma Form


Your diploma is a legal document - it must read exactly as your Birth Certificate!


Please complete this form by Friday, January 4, 2019. The Class of 2019 Diploma order will be placed with our vendor the morning of January 7, 2019!

If you do not complete this form, your graduates' name will be submitted to the vendor as it is listed in the District Genesis System for his/her diploma. If that does not match to the birth certificate, the parent and/or student will be responsible to pay for a replacement diploma. If a parent/student types incorrect information in this form, you can re-do the form by January 4th & note "USE THIS SUBMISSION" under "MISC". If you do not do this, information on the incorrect submission will be used and a replacement diploma fee will be the responsibility of the parent/student.

Sections with * are mandatory to complete before you can submit this form. If a section does NOT apply just add "NONE" in that section so you can continue & submit.

If your name has special characters in it and you are unable to include them on the form below or if you have any questions or concerns regarding the form, please email Mrs. Pileggi at: or contact her at (908)754-4620, ext. 1601.

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