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High School Transcript Request Form: Part I. To Be Completed by Student

This form requests a student's high school transcript for admission to the University of Michigan-Dearborn. The student fills out their personal information and whether they have already submitted an application and fee. The high school official then verifies the student's information, signs and dates the form, and sends it along with an official transcript and test scores to the UM-Dearborn Office of Admissions.

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82 views1 page

High School Transcript Request Form: Part I. To Be Completed by Student

This form requests a student's high school transcript for admission to the University of Michigan-Dearborn. The student fills out their personal information and whether they have already submitted an application and fee. The high school official then verifies the student's information, signs and dates the form, and sends it along with an official transcript and test scores to the UM-Dearborn Office of Admissions.

Uploaded by

white15y
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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High School Transcript Request Form

Part I. To be completed by student


Complete top portion and take this form to your high school guidance office.

Student Name ________________________________________________________________________________


First

Middle

Last

Social Security Number________________________________


High School __________________________________________________________________________________
City ___________________________________________ State __________Zip ___________________________

My application and fee have already been submitted to the University of Michigan-Dearborn.

Yes

No

Signature _______________________________________ Date ________________________________________

Part II. To be completed by high school official

High School Name ____________________________________________________________________________


School Officials Name _________________________________________________________________________
First

Last

Position _______________________________________ Phone ________________________________________

Signature _______________________________________ Date ________________________________________

Please send this form and an official transcript (and ACT and/or SAT scores) to:
University of Michigan-Dearborn
Office of Admissions and Orientation
1145 UC, 4901 Evergreen Road, Dearborn, MI 48128-2406
Phone: 313-593-5100 Fax: 313-436-9167
Revised 10/07

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