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Um Ass Transcript Request Form

This transcript request form is for undergraduate students at the University of Massachusetts Amherst to request official or unofficial copies of their academic transcripts. It requests the student's name, ID number, date of birth, contact information, dates of attendance, and the number of transcripts needed. The student can choose to have the transcripts mailed to themselves or another recipient, picked up in person, or held until certain grades or a degree are recorded. There is no fee for requests from students who enrolled after September 1990.

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Efan Hsieh
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0% found this document useful (0 votes)
51 views

Um Ass Transcript Request Form

This transcript request form is for undergraduate students at the University of Massachusetts Amherst to request official or unofficial copies of their academic transcripts. It requests the student's name, ID number, date of birth, contact information, dates of attendance, and the number of transcripts needed. The student can choose to have the transcripts mailed to themselves or another recipient, picked up in person, or held until certain grades or a degree are recorded. There is no fee for requests from students who enrolled after September 1990.

Uploaded by

Efan Hsieh
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TRANSCRIPT REQUEST FORM

UNDERGRADUATE REGISTRAR'S OFFICE


209 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)


Official Transcript

Unofficial Transcript

Number of Transcripts ______

*You can have your unofficial transcripts faxed, fill out below:

Fax # _______________________
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:
There is no fee for students who have entered the University as of September 1990 or later.
If you entered the University prior to September of 1990, there is a service fee of $6.00 for each transcript.

rev 04/11/2011

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