Transcript Request Form - Bemidji State University printable pdf download

BEMIDJI STATE UNIVERSITY

Transcript Request Form

Records & Registration Office

Deputy Hall, Room 101, #12

To obtain a Transcript:

1500 Birchmont Dr

Bemidji, MN 56601

1. Print all information requested.

218/755-2020

Fax: 218/755-4409

2. Transcript requests are normally processed within

one week from date of request.

Regulations governing issuance of transcript

3. Submit your request:

 In person

1. Financial obligations must be satisfied.

(picture ID is required when picking up transcript)

 By Mail

2. Requests made in person require you to present a

 Fax (218) 755-4409

valid photo ID.

 E-mail – Records@bemidjistate.edu

3. Transcripts can only be mailed, never faxed or emailed.

4. Request for more than 10 transcripts are subject to a

(provided a written signature is included in the request)

processing fee.

4. Requests cannot be taken via phone.

If you need an official BSU transcript sent to a Minnesota State College or University (MNSCU), that institution

may be able to obtain your transcript for you. Please contact that institution directly for further information.

SSN or ID#

Name: ________________________________________________

____________________

Last

First

Current Address: _________________________________________________________

City: _______________________________ State: _________ Zip: ___________

Telephone Number: ______________ E-mail: _______________________________________________

Check only one of the four choices below:

1.____ Pick transcript up at Records Office, No. of Copies ____, Call __ or Email __ when ready

2.____ Send now

3.____ Send after grades are posted (list term/year) ______________________

4.____ Send after degree is posted (list expected graduation date – Mo/Yr) _________________

__ Check here if you attended prior to March 1, 1975

No. of Copies ___

Send To Name & Address #1

Send To Name & Address #2

______________________________________

I give BSU permission to release my transcript to the name and address indicated above. All holds must be

cleared before an official transcript is sent. You will be notified by e-mail if your transcript cannot be sent

based on a hold. Transcripts mailed to you will be in a separate sealed envelope.

I understand that my school may update their records with the address and contact information above and

acknowledge that this does not serve as an official notification of this information to my school.

Signature:

Date: ____________

Signature required

Office use only:

Date Sent

INT.

Transcript Request Form - Bemidji State University

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