Transcript Requested from:
University of Nevada, Las Vegas - Office of the Registrar 4505 S. Maryland Pkwy., Las
Vegas, Nevada 89154-1029
Nevada State College - Office of the Registrar 311 S Water Street, Henderson, NV 89015
University of Nevada, Reno - Office of the Registrar 1664 N. Virginia Street, Reno, NV 89557
Name: NSHE ID#
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Send ELECTRONIC Transcript To:
College of Southern Nevada
3200 E. Cheyenne Ave
Las Vegas, NV 89030
Student Authorization:
I understand that the Family Education Rights and Privacy Act (FERPA) is a federal law designed to protect the
privacy of a student’s education records. By my signature, I consent to the release of my academic transcript(s) to
the College of Southern Nevada by the institutions indicated above as part of my request for reverse transfer
articulation pursuant to the Board of Regents Handbook, Title 4, Chapter 18, Sections 1-3. I understand the College
of Southern Nevada may award academic credentials earned based upon a reverse transfer degree audit. I further
understand I have the right to rescind this consent to release my academic transcripts at any time.
Signature:
Type your full name here. Date
Revised: 01-2016
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College of Southern Nevada - Reverse Transfer Transcript Request
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1. Complete fillable form using PDF editor (adobe acrobat, Pdf max, etc.)
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lattach the completed form to the below email address.)
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Email to ReverseTransferOffice@csn.edu
