TRANSCRIPT REQUEST FORM

TRANSCRIPT
REQUEST FORM

Ferris State University
Admissions & Records
1201 South State Street, CSS 201
Big Rapids, MI 49307
FAX #(231) 591-2242

Office Use Only

____________________
Date transcript mailed

Today's Date_____________ Total# Requested_________ Time Request Taken __AM __PM

Currently Enrolled ____Yes ____No If No, Enter Last Year Attended________________

Student ID or Social Security No. __________________ Date of Birth__________________________

Student Name _____________________________________________________________________

Current Last (Other Last Names) First Middle Initial

INSTRUCTIONS - PLACE AN "X" IN THE APPROPRIATE BOX

$5.00 for
Immediate Service
Plus
$5.00 Per Copy

$5.00 Per Copy
Regular Service
Two Business Days

$5.00 Per
Copy
Pick-Up
One Business Day

$5.00 Per Copy
End of Term
Hold for Grades
ASAP After
Grades Are Posted

$5.00 Per Copy
FSU College Name:________________________
Hold for Degree
ASAP After Degree Is Posted

OFFICE USE ONLY: Student Services $ ______Initials______

CREDIT CARD (VISA, DISCOVER, OR MASTERCARD) # ____________________EXP DATE_________

     Your Student Signature is REQUIRED to Process this request
Signature of Student___________________________________________________________________
Student Address:                                                       Number of copies to send to this address: ________
____________________________________________________________________________________
____________________________________________________________________________________
                                                                Daytime Telephone #: _________________________________

TRANSCRIPTS WILL NOT BE ISSUED IF FINANCIAL
OBLIGATIONS TO THE UNIVERSITY HAVE NOT BEEN MET.

SEND TO: Number of copies to send to this address:____