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Transcript Request Form

 

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Step 1: Request Information
*I am requesting a transcript from: Northwest Missouri State University (if student attended prior to 1988)
Platt College/Northwest Missouri Community College (St. Joseph, MO)
Tarkio College (Tarkio, MO)
*Date(s) of Attendance:
*Send Transcript(s): Now     Hold until Semester Ends     Hold for Degree

Step 2: Student Information
*Full Name:

*First 

Middle 

*Last 
Former Name:

First 

Middle 

Last 
Student ID Number:  (if known)
Social Security Number:
*Birthdate: (format: MM/DD/YYYY)
*Country: United States     Canada     Other
*Street Address:
*City:
*State:
*Province:
*State/Province/Region:
*ZIP/Postal Code:
*Home Phone:
Cell/Daytime Phone:
*Email Address:

Step 3: Recipient Information
*Number of Transcripts:
*Send By:  USPS Mail
 FAX
 Express Mail
 International FedEx
*FAX #:
*ATTN:
*Name:
*Country: United States     Canada     Other
*Address 1:
Address 2:
*City:
*State:
*Province:
*State/Province/Region:
*ZIP/Postal Code:

Step 4: Payment Information

Payment Breakdown Summary
Total Transcripts:
Amount Due:

Cardholder Information
I would like to use the present address from the "Student Information" section above.
Yes     No
*First Name:
*Last Name:
*Country: United States     Canada     Other
*Address:
*City:
*State:
*Province:
*State/Province/Region:
*ZIP/Postal Code:
*State:
*Country:
*Home Phone:
*Email:

To retain a copy of this request for your records, please print this page now.

Before your transcript request can be processed,
you MUST download, sign and fax/scan the consent form to 660.562.1993 or registrar@nwmissouri.edu.
The consent form will appear after payment is completed.