Office of the Registrar

REPLACEMENT DIPLOMA REQUEST
You may request a replacement diploma for yourself that reflects our name change to Missouri Southern State University. There is a fee of $15.00 plus a $5.00 processing fee.  A portion of the cost for a replacement diploma goes to the Alumni Association Scholarship Fund.

Under the name of your degree, the replacement diploma will contain the following statement “Degree granted by Missouri Southern State University (date). Replacement Diploma issued (date).” You do not need to return your original diploma.

Complete and mail or fax form below with payment to:
Diploma Request
Business Office
Missouri Southern State University
3950 E. Newman Road
Joplin, MO 64801
Fax number: 417-625-9388
If you have questions please call the Registrar’s Office at 417-625-9336 or 9515.

Please allow four (4) to six (6) weeks for delivery.

Order Form for Replacement Diploma
Name (As it is to appear on Diploma)________________________________________
Former Name if Applicable ________________________________________________
Social Security Number___________________________________________________
Degree Earned __________________________Major __________________________
Date of Graduation ______________________________________________________
Current Address_________________________________________________________
_________________________________________________________
Phone Number _________________________________________________________
Signature _________________________________________Date_________________
If paying by Credit Card include the following information:
Card Type ____________ Card Number ___________________________________
(Visa, MC, Discover)
Exp. Date ____________ Name of Cardholder ______________________________
V. Code (3 digit code following the card # on back of card) _________