OFFICIAL TRANSCRIPT REQUEST FORM
To obtain a copy of your student transcript, please send the completed form below to:
Office of the Registrar
Bryn Mawr College
101 North Merion Ave.
Bryn Mawr, PA 19010-2899
TRANSCRIPTS WILL BE WITHHELD IF OVERDUE OBLIGATIONS TO THE COLLEGE HAVE NOT BEEN SATISFIED.
PLEASE PRINT CLEARLY
STUDENT ID NUMBER: ______________________ BIRTHDATE: _______________
LAST NAME: _______________________________ FIRST NAME: ____________________________
MAIDEN/PREVIOUS NAME: _____________________________________________
ADDRESS: ______________________________________________________________________________
CITY: _____________________________________________ STATE: _______________ ZIP: ______________
DAYTIME TELEPHONE NUMBER: ________________________________________ EMAIL : __________________________________________
ENROLLMENT INFORMATION: Please fill in the information below.
_____ CURRENTLY ENROLLED _____ NOT CURRENTLY ENROLLED
(If not currently enrolled, please indicate your last semester of attendance: ______________________)
_____UNDERGRADUATE GRADUATE Arts and Sciences GRADUATE Social Work OTHER: _________________
SEND AFTER: SEMESTER GRADES ARE POSTED ________ SEND IMMEDIATELY
_______ PICK UP (allow 2 working days once we receive your request)
_______ HOLD FOR THE FOLLOWING CORRECTION: ________________________________________________
_______________________________________________________ _____________________
STUDENT’S SIGNATURE REQUIRED TODAY’S DATE
In keeping with the Family Rights and Privacy Act of 1974 (FERPA), a student’s signature is required
for release of a transcript.
COMPLETE A SEPARATE REQUEST FORM FOR EACH RECIPIENT OF A TRANSCRIPT
Transcripts will be sent by U. S. Postal Service.
Please mail ____ transcript (s) to:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Student Name:
ID:
No. of Copies:
OFFICE USE ONLY:
