Please Print

Last Name: First Name: Middle Initial:


SSN: Student ID #: Former Name (Maiden):


Transcript Request Form

UMC REGISTRAR’S OFFICE

2900 University Avenue

Crookston, MN 56716-5001

(218) 281-8548



A TRANSCRIPT WILL NOT BE RELEASED IF THIS

OFFICE HAS BEEN NOTIFIED OF FINANCIAL

INDEBTEDNESS TO THE UNIVERSITY.
__________________________________________


OFFICIAL’ TRANSCRIPTS ARE NOT ISSUED TO

STUDENTS. AN UNOFFICIAL TRANSCRIPT, SO

MARKED, MAY BE ORDERED FOR PERSONAL USE. Send Transcript to: Career Services

AN OFFICIAL TRANSCRIPT MUST BE SENT

DIRECTLY TO ANOTHER COLLEGE OR

UNIVERSITY OR TO AN OFFICIAL OF AN ORGANIZATION.
__________________________________________


IN ACCORDANCE WITH FEDERAL LAW, RECORDS

CANNOT BE RELEASED WITHOUT THE WRITTEN

CONSENT OF THE STUDENT.

UMC Career Services

Release Form

My signature authorizes UMC Career Services to:

1. Assemble and retain on file, my academic records, letters of recommendation, resume/data form and any

other pertinent employment information.

2. Release contents of my electronic and/or paper file to any bona fide prospective employer(s) or graduate

school(s).

3. Obtain a copy of my unofficial transcript from the UMC Registrar’s Office.



Signature: ___________________________________________________ Date: __________________

To comply with the requirements of the “Family Education Rights and Privacy Act of 1974,” written permission is needed to release information from your Career Services file.