Um Ass Transcript Request Form
Um Ass Transcript Request Form
voice 413.545.0555
fax 413.545.2920
STUDENT INFORMATION
Current Name __________________________________________________________________________________
Last
First
Middle
Former Name (if applicable) _____________________________________________________
Student ID# or SS# ___________________________
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Unofficial Transcript
*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***
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
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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