Midwestern State University Transcript Request Form
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1
2Office of the Registrar
Transcript Request Form
Instructions:
1. Complete the following form by typing in the boxes below. (If you choose to print the document and fill
in by hand, please make legible.)
2. Print the form after completing the blanks.
3. Don’t forget to SIGN THE REQUEST where indicated at the bottom of the second page.
4. Mail or fax this form to the address/fax number below.
Transcripts which are picked up or mailed standard U.S. mail are provided at no cost. (Note: There is a limit of
10 transcripts per request on a given day.) However, if you need your transcript faxed (unofficial) or sent
overnight to the destination, you must complete the online payment process, which must be made at the time
of the request. (The submission of payment will not be considered until the signed Transcript Request form is
received in the Registrar’s Office.) Please contact our office for questions or more information at 940-397-4321.
Click here to complete the online payment process
- (for faxed or overnight mail only)
__________________________________________________________________________________________
(Last Name)
(First Name)
(Middle Name)
__________________________________________________________________________________________
(List all previous names)
(E-mail Address)
_______________________________
_________/_________/_________
______/______/______
(MSU Mustangs ID Number)
(Social Security Number)
(Date of Birth)
Current Address:
__________________________________________________________________________________________
(Address)
(Apt. #)
(City)
(State/Country-if not USA)
(Zip Code)
__________________________________________________________________________________________
(Daytime Phone Number)
(Work Phone Number)
(Home or Cell Number)
○
○
Currently enrolled?
YES
NO
Last Date Attended ______________________________________
Number of Copies? _____________ (limit of 10 per day)
□
□
Official
Unofficial
(with University Seal and Registrar’s
(for personal or advising use, white paper,
Signature)
no seal, no signature) Note: all faxed
copies are considered unofficial.
□
Separate sealed envelopes
□
Hold for current semester grades
□
Hold for current semester grades
Graduating and have applied for graduation?
□
□
HOLD for degree to be posted – or –
SEND NOW WITH COVER LETTER stating completion of degree
requirements.
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