Montclair State University Transcript Request
MAIL COMPLETED, SIGNED FORM TO:
Office of the Registrar
Montclair State University
Montclair, NJ 07043
OR FAX TO:
973-655-7371
Print complete name and mailing address clearly. We cannot be responsible for delays due to incomplete or illegible addresses. ADDRESS MUST INCLUDE ZIP CODE. REMEMBER this is a SEND TO address.
For clarity, fill in fields online then print completed form

 

Use separate
form for each
address

Student ID Number Reason for transcript: Employment Education Other
Name  Date of Birth Daytime Phone
Previous Surname(s)
Current Address: #/Street Town
State Zip Country
MSU degrees earned Bachelor's Month & Year
Master's Month & Year
Last semester and year of enrollment
Send my Undergraduate Record    Graduate Record (post bachelor's)    Both Records
                                     (Undergraduate and Graduate records together count as one copy)
Hold for posting of semester grades (approximately 3 weeks after end of semester) - Check one:
                                                         Fall       Spring       Summer        Post Summer
Hold for posting of degree (approximately 1 month after conferment date)
     Indicate anticipated graduation date

# of Copies - Regular Processing (No Charge) - allow 3-5 working days for processing. Allow additional time for end of semester request. Undergraduate & Graduate records together count as one copy.

# of Copies-SAME DAY PROCESSING-see link  $15 for the first copy, $8 for each additional copy. Payment must accompany request. Undergraduate & Graduate records together count as one copy.

Check/money order enclosed  -or- Charge to My    Visa     MasterCard     Discover
                            Account # Expiration Date
                   Signature of card holder _______________________________________________________
If sent to student, transcript will be stamped. Select either:
       Issued to Student in Sealed Envelope(s)
      Issued to Student
Signature_____________________________________________________________ Date ______________
(As per the Federal Educational Rights & Privacy Act (Public Law 93:380) I authorize release of my record)