Diploma Request in Accordance to Act 155
A person (hereby referred to as "student") no longer enrolled in a public school who was denied graduation solely for failing to meet the exit exam requirements (S.C. Code Section 59-18-310(B)) may petition to determine his or her eligibility to receive a high school diploma. For more information about ACT 155 visit http://www.ed.sc.gov/newsroom/public-information-resources/high-school-exit-exam-elimination/.
Please submit this form online by pressing the submit button. OR you may print and submit the completed, signed form by mail to: Janet Howe, Student Records Office, 1 Men Riv Drive, Goose Creek, SC 29445. OR submit in person at the Student Records Office. Incomplete information will delay processing. Allow 8-10 weeks for processing, printing and delivery.
Primary Contact Information
Primary Contact's Name:
Primary Contact's Phone:
Primary Contact's Email:
Primary Contact's Current Address:
                                        Zip Code:
Personal Information
Student's First Name*:
Student's Middle Name*:
Student's Last Name*: Students Generation(Jr., II, Etc)**:
Did student go by any other name in high school? If yes, what name?**
Student's Date of Birth (mm/dd/yyyy):
Previous School Information
High School Name from which Student Would Have Graduated:
Did the Student attend Adult Education? Yes   No
School Year in which Student Would Have Graduated:
*Should be the name given on the Student's Birth Certificate.
**NOT a required field. All other fields are required.