Student and Employee Request Form

Request Type

Personal Information

First Name

Last Name

ID Number

ID numbers can be found by logging into your Data Portal through myMUIH (https://my.muih.edu) and clicking on "My Contact Information".

ID Request Details

To request an ID, please complete the following form along with a current image meeting the guidelines below.

Please note that student IDs are only issued to degree-seeking students.

ID Type

I am a

Please select an option:

*You will notified by email once ID is ready.

Mailing Address

Street

City

State

Zipcode

Country

Image Guidelines:

JPG files only (photo must be in color)
The image should be of you from the shoulders up, facing the camera head-on, a plain background.
Other Individuals should not be present in the photo.
No sunglasses, hats, unnatural expressions, or hands/gestures in image.

Upload your image here:

Any Additional Notes:

Email IDRequest@muih.edu if you have questions about your ID Request.

Diploma Replacement Request Details

University Name at Time of Attendance

Program

Name on Diploma

Name as it should appear on the diploma.

Name (attn to:)

Phone

Address

Street

City

State

Zipcode

Country

Fee Details

A $50 fee per diploma will apply. The replacement diploma bears a re-issue date and the signatures of current University officials. The diplomas of alumni who graduated when the institution was named Traditional Acupuncture Institute or Tai Sophia Institute will have their replacement diploma re-issued under the same name.

Payment Details

Total Amount Due

Billing Street

Billing City

Billing State

Billing Zipcode

Billing Country

Please choose one option for your payments:

Credit CardACH

Payment Information (Credit Card)

Name on Card

Card Number

Code

Billing Email

Payment Information (ACH)

Account Holder Name

Bank Routing Number

Bank Account Number

Bank Name

Bank Account Type

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