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Diplomas & Replacement Diplomas

Download Version:  userfiles/83/replacement%20diploma%20request.docx

Wayne County High School Replacement Diploma Request Form

(Please Print)

Graduate Name: _________________________________________________________

                                                  (First)                                                         (Middle)                                                                 (Last)          

 

Name under which registered while attending Wayne County High School: (Please include maiden name.) 

 

 

Year of Graduation: ___________________________

Date of Birth: ________________________________

 

Your Current Contact Information:

Address: ____________________________________________________________________

City: _____________________________    State: _______________ Zip Code: __________

Phone: ______________________________________________________________________

Signature:  ________________________________________________ Date: _____________

There is a charge of $25 for the replacement diploma.  The diploma will be ordered upon receipt of cash, check or money order. Checks or money orders can be made payable to Wayne County High School. Allow 3-6 weeks for processing.

 

Mail To: 

Wayne County High School

Attn: Guidance Office

2 Kenny Davis Blvd.

Monticello, KY 42633