"Transcript Request Form - Manhattanville College" - New York

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Transcript Request
Registrar’s Office - 2900 Purchase Street – Purchase, NY 10577
($8 Per Official Transcript Copy)
Phone: (914) 323-5337 Fax: (914) 323-5211 Completed forms can be scanned & emailed to:
registrar@mville.edu
*NOTE: Please Send ONE Request Only. Multiple Submissions Will Result In Duplicate Charges*
PERSONAL INFORMATION
Last Name:
First Name:
Middle Initial:
Name when enrolled (if different from above):
SSN:
Date of Birth:
Student ID:
Street Address:
City:
State:
Zip Code:
Phone: (home)
(cell)
Email:
NOTE: *Official and unofficial transcripts CANNOT be faxed or emailed*
ATTENDANCE INFORMATION
Check all that apply:
I currently attend Manhattanville College
I attended Manhattanville prior to 1985
I attended Manhattanville after 1985
Dates of Attendance:
Undergraduate:
/
/
--
/
/
Check Degrees Earned:
Bachelor: Month/Year Earned: ________ / _________
Graduate:
/
/
--
/
/
Master: Month/Year Earned: ________ / __________
Manhattanville students do not need to request transcripts when applying to Manhattanville Graduate Schools
TRANSCRIPT INFORMATION
DELIVERY METHOD (check one):
OPTIONS (check one):
REASON FOR REQUEST (check one):
I will pick up my transcript at the Manhattanville College
Process Immediately
Job Interview
Scholarship
Registrar’s Office. (Photo ID must be presented when
Hold until final grade submission.
Internship Application
Study Abroad
picking up transcript)
Semester: __________________
Hold until degree is awarded.
Grad School Application
Transfer
My transcript should be sent to the recipient and address
Degree/Dated: _______________
listed below. (If sending multiple transcripts, please attach a
Hold for grade change.
list of all addresses.)
Other: ____________________________
Course/Term: ________________
TRANSCRIPT SELECTION:
Official Transcript in sealed envelope with college seal ($8 per copy)
________ NUMBER OF REQUESTED TRANSCRIPTS
(check one)
Unofficial Copy (no fee)
Quantity
SEND TRANSCRIPT TO [Student is responsible for complete & accurate addresses. For additional mailings, attach a separate list]:
Recipient Name / Department / Office: _________________________________________________________________________________________________
Company Name / School / Organization : _______________________________________________________________________________________________
Street Address:____________________________________________________________________________________________________________________
City, State, Zip Code: ______________________________________________________________________________________________________________
STUDENT SIGNATURE
Transcripts will not be sent if financial obligations to the College have not been met. OFFICIAL Transcripts are placed in a sealed envelope. Breaking the envelope seal will
render the transcript unofficial. Transcripts sent to students are stamped “Given to Student”. The College is not responsible for lost transcripts once they leave our office.
Transcripts from other colleges cannot be duplicated or released. Requests may take up to 7-10 days to be processed. All requests must be authorized by a student's signature.
SIGNATURE:
DATE:
PAYMENT INFORMATION
Payment Type (check one):
Cash
Check/Money Order (Check #:________________)
Credit Card
Amount Enclosed:
Credit Card Type (check one):
MasterCard
Visa
Discover
Amex
Expiration Date:
Credit Card Number:
Security Code:
Authorized Signature:
Date:
Transcript Request
Registrar’s Office - 2900 Purchase Street – Purchase, NY 10577
($8 Per Official Transcript Copy)
Phone: (914) 323-5337 Fax: (914) 323-5211 Completed forms can be scanned & emailed to:
registrar@mville.edu
*NOTE: Please Send ONE Request Only. Multiple Submissions Will Result In Duplicate Charges*
PERSONAL INFORMATION
Last Name:
First Name:
Middle Initial:
Name when enrolled (if different from above):
SSN:
Date of Birth:
Student ID:
Street Address:
City:
State:
Zip Code:
Phone: (home)
(cell)
Email:
NOTE: *Official and unofficial transcripts CANNOT be faxed or emailed*
ATTENDANCE INFORMATION
Check all that apply:
I currently attend Manhattanville College
I attended Manhattanville prior to 1985
I attended Manhattanville after 1985
Dates of Attendance:
Undergraduate:
/
/
--
/
/
Check Degrees Earned:
Bachelor: Month/Year Earned: ________ / _________
Graduate:
/
/
--
/
/
Master: Month/Year Earned: ________ / __________
Manhattanville students do not need to request transcripts when applying to Manhattanville Graduate Schools
TRANSCRIPT INFORMATION
DELIVERY METHOD (check one):
OPTIONS (check one):
REASON FOR REQUEST (check one):
I will pick up my transcript at the Manhattanville College
Process Immediately
Job Interview
Scholarship
Registrar’s Office. (Photo ID must be presented when
Hold until final grade submission.
Internship Application
Study Abroad
picking up transcript)
Semester: __________________
Hold until degree is awarded.
Grad School Application
Transfer
My transcript should be sent to the recipient and address
Degree/Dated: _______________
listed below. (If sending multiple transcripts, please attach a
Hold for grade change.
list of all addresses.)
Other: ____________________________
Course/Term: ________________
TRANSCRIPT SELECTION:
Official Transcript in sealed envelope with college seal ($8 per copy)
________ NUMBER OF REQUESTED TRANSCRIPTS
(check one)
Unofficial Copy (no fee)
Quantity
SEND TRANSCRIPT TO [Student is responsible for complete & accurate addresses. For additional mailings, attach a separate list]:
Recipient Name / Department / Office: _________________________________________________________________________________________________
Company Name / School / Organization : _______________________________________________________________________________________________
Street Address:____________________________________________________________________________________________________________________
City, State, Zip Code: ______________________________________________________________________________________________________________
STUDENT SIGNATURE
Transcripts will not be sent if financial obligations to the College have not been met. OFFICIAL Transcripts are placed in a sealed envelope. Breaking the envelope seal will
render the transcript unofficial. Transcripts sent to students are stamped “Given to Student”. The College is not responsible for lost transcripts once they leave our office.
Transcripts from other colleges cannot be duplicated or released. Requests may take up to 7-10 days to be processed. All requests must be authorized by a student's signature.
SIGNATURE:
DATE:
PAYMENT INFORMATION
Payment Type (check one):
Cash
Check/Money Order (Check #:________________)
Credit Card
Amount Enclosed:
Credit Card Type (check one):
MasterCard
Visa
Discover
Amex
Expiration Date:
Credit Card Number:
Security Code:
Authorized Signature:
Date: