University of the Virgin Islands 
Access and Enrollment Services 
    Replacement Degree Application 
INSTRUCTIONS: Please print or type this form.  One application form per degree.     
Print legal name: 
First 
   Middle 
Last 
ID#
         Gender     M          F   
Date of Birth  
/_ 
/_
 MM      DD      YYYY 
Current Mailing Address: 
 P.O. Box/Street Address 
_____________________________________________
 
City                     State                      Zip Code 
_______________________________________________ 
 Telephone#  (Daytime) 
Email Address: _______________________________ 
INDICATE DEGREE RECEIVED 
 Master of Arts in Business Administration 
 Master of Arts in Mathematics for Secondary Teachers 
 Master of Arts in Education 
 Master of Arts in Psychology 
 Master of Marine and Environmental Sciences 
 Master of Arts in Public Administration 
 Bachelor of Science  
Major(s)____________________________ 
 Bachelor of Arts 
 Major(s)____________________________  
 Associate of Science 
  Major(s)____________________________ 
      Associate of Arts 
Major(s)____________________________ 
CAMPUS 
     St. Thomas 
St. Croix 
FEES: [All fees are non-refundable]
• Replacement Degree $25.00
Date:
 
Student’s Signature: 
All completed applications must be submitted to the Office of the Registrar on St. Thomas Campus. 
Mailing 
Access and Enrollment Services, Office of the Registrar, #2 John Brewers Bay, St. Thomas, VI  00802 
Email Address: registrar@uvi.edu 
Fax 
(340) 693-1167
SIGN