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Diploma Request

* indicates a required answer.

This form is needed if you would like a DIPLOMA to be provided by Salem Christian School. The cost to obtain the diploma is $20 and must be received with the Diploma Request.

1. *

STUDENT'S  FULL NAME

2. *

COMPLETE ADDRESS:

3. *

PHONE NUMBER

4.

ALTERNATE PHONE

5.

DATE OF EXPECTED GRADUATION (FOR DIPLOMA)

If you do not know the date of Graduation, please contact Phyllis via text message when the date is confirmed. Diplomas can not be completed without this information. 443-243-0215

6.*

WHO IS YOUR COUNSELOR

Please note - Diplomas will not be completed until your student has met all graduation requirements. This generally means that you must have completed your final review prior to receiving your diploma, so plan accordingly - contact your counselor and get your review done as early as possible at the end of your school year.  If your student has taken college courses, be sure that you have submitted a (informal) transcript to your counselor, or to Phyllis : phyllisatsalem@yahoo.com 

The cost to you for the diploma is $20.00. NOTE NEW PROCESS:  All diplomas will be mailed to you when they are completed.  PLEASE double-check to be sure your address (above) is complete, including zip code.