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Official Transcript Request Form: Student Information

This document is an official transcript request form for undergraduate students at the University of Massachusetts Amherst. It requests the student's contact information and signature to process their transcript order. Students can choose to pick up their transcript in person, have it mailed to an address, or wait until certain grades or degrees are recorded. There is no fee for students enrolled after 1990, and a $6 fee per transcript applies to students who enrolled earlier.

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michaelpequod
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© Attribution Non-Commercial (BY-NC)
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55 views

Official Transcript Request Form: Student Information

This document is an official transcript request form for undergraduate students at the University of Massachusetts Amherst. It requests the student's contact information and signature to process their transcript order. Students can choose to pick up their transcript in person, have it mailed to an address, or wait until certain grades or degrees are recorded. There is no fee for students enrolled after 1990, and a $6 fee per transcript applies to students who enrolled earlier.

Uploaded by

michaelpequod
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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OFFICIAL TRANSCRIPT REQUEST FORM

UNDERGRADUATE REGISTRAR'S OFFICE


213 WHITMORE ADMINISTRATION BUILDING
UNIVERSITY OF MASSACHUSETTS
181 PRESIDENTS DRIVE
AMHERST, MA 01003-9313

voice 413.545.0555
fax 413.545.2920

STUDENT INFORMATION
Current Name __________________________________________________________________________________
Last
First
Middle
Former Name (if applicable) _____________________________________________________
Student ID# or SS# ___________________________

Date of Birth ______________________________

Email Address ______________________________________ Telephone Number _________________________


Dates of Attendance__________________________________
Current Mailing Address

_________________________________________________
_________________________________________________
________________________________________________________

TRANSCRIPT INFORMATION (please allow 3-5 business days for processing)


Number of Transcripts ______
Transcript(s) will be picked up
or
Mail Transcript(s) to:

***actual mailing time can take up to two weeks to reach the destination***

_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
OR, hold request and
mail transcript(s) after

Fall grades recorded

Spring grades recorded

Winter grades recorded

Summer grades recorded

Degree awarded on transcript

________________________________________________
Student Signature Required

_________________________
Date of Request

Charges:
If you entered the University September of 1990 or thereafter, you have paid a Registrars Service Fee that entitles you to
free transcripts for life.
If you entered the University prior to September of 1990, there is a service fee of $6.00 for each transcript.
rev 03/13/09

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