Summary: Early Release of Parchment Form
This form is used when a student has been awarded their degree in advance of Convocation, and
would like their parchment released prior to the ceremony. Parchments are released without
charge twice a year at either Spring or Fall Convocation.
11.. SSttuuddeenntt IInnffoorrmmaattiioonn
Social Insurance Number (if student
number not known):
Full Legal Name (include accents, mixed case, and hyphens):
First name Middle Name Last Name
22.. DDeeggrreeee IInnffoorrmmaattiioonn
Degree to be conferred:
Expected Month and Year of Conferral:
Special designations (distinction, internship, coop, etc.):
33.. PPiicckkuupp oorr MMaaiilliinngg IInnffoorrmmaattiioonn
I would like to pick up the diploma when it is ready.
Daytime Phone Number(s):
I would like to have the diploma mailed to me.
Office use only: