Transcript Request Form

TO: Registrar or appropriate official

I am enrolled at University of Maryland University College. It is important that my academic record from your institution be sent without delay. Please bill me if there is a charge. Please send an official copy of my transcript to:

Registrar's Office—Transcripts
University of Maryland University College
3501 University Boulevard East
Adelphi, MD  20783-8075  USA

 

Full name ______________________________________________________

Student ID number_________________ Date of birth______________ (Mo/Day/Yr)

Dates of attendance______________ to ______________ (Mo/Day/Yr)

Current Address___________________________________________________

________________________________________________________________

E-mail________________________________

Thank you,

______________________________(Signature) _______________ (Date)

  College transcript

  High school transcript/GED scores

Date of graduation test______________________________ (Mo/Day/Year)

  Credit by examination scores

Name of test (CLEP, DANTE, etc)__________________________________

Title of examination(s)_____________________________________________

Date(s) taken _______________________________________ (Mo/Day/Year)

  Send an unofficial copy of my records to my current address.