Alumnae Diploma Request Form

Diploma requests will be processed and submitted to Jostens when your information and payment are received. Once we receive and inspect the diploma, it will be mailed to you unless you indicate that you would like to come in to pick it up from the school.

Complete the form below. After you click Request, you will be redirected to make the $30 payment online.
Payment may also be made in person at the school or mailed as a money order (do not send cash or personal checks) to:
Academy of Mount St. Ursula
Attn: Brianne O’Hare/Guidance Department
330 Bedford Park Boulevard
Bronx, NY 10458

Please contact the Guidance Department at 718-364-5353 x217 with any questions.

Name student used while in school (e.g. maiden name)

This will be how the name will appear on the diploma

Graduation Year

Enter the year the student graduated

Phone Number

Enter a phone number to which we can reach you for questions.

(###)

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How would you like to receive your diploma?

Choose one:

Please mail it

I will pick it up

Shipping Address

Enter the address where diploma is to be mailed (if applicable).

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Notes

Enter any additional information we may need to know.

Click here if you are not automatically redirected to the payment page.