Document Pick-up Authorization Mines students can use this form to designate a proxy to pick-up an official document (diploma, transcript, etc.) from the Registrar's Office. Student Name:(Required) First Last CWID(Required)8-digit Student ID NumberMines Student Email Address:(Required) Enter your @mines.edu student email addressYou will be unable to proceed with this form (you will be unable to submit) until you enter a valid Mines student email addressStudent Type:(Required) Undergraduate Graduate Non-Degree Document Type:(Required) Diploma Transcript Enrollment Verification Please provide contact information for the designated individual you wish to authorize to collect your official document(s):Proxy/Designee Name:(Required) First Last Proxy/Designee Email:(Required) By signing below you signify your understanding that you will need to communicate with the authorized individual listed above concerning their responsibility for your document(s) and that your item(s) will not be released to them unless they are able to produce a government-issued picture ID at the time of pickup for verification purposes:Student Signature:(Required)
