Diploma Pick Up Authorization

Today's Date*
MM slash DD slash YYYY
Name*
First Last
Campus ID*
Graduation Date*
MM slash DD slash YYYY
UWM Email*

I authorize the person below to pick up my diploma on my behalf. This authorization is good for 90 days from the date of this letter.
Full Name of Person Authorized to Pick Up Diploma*
Email Address of Authorized Person*
I understand that by submitting this form I am giving this authorization the force of my signature.*
- Check this box to sign this form digitally