Transcript Release Form
This form is used by Southern New Hampshire University, Office of Transfer Admission for the sole purpose of requesting
transcripts on behalf of our prospective students. The prospective student’s signature on this form grants Southern New
Hampshire University the right to request transcripts directly from Institutions previously attended. If SNHU is unable to
obtain transcripts for any reason, the prospective student will be responsible to obtain transcripts.
Please send one (1) official transcript for the following student to:
Southern New Hampshire University
Office of Transfer Admission
2500 North River Road
Manchester, NH 03106
Information of Institution Attended
Office of Transfer Admission
2500 North River Road | Manchester, NH 03106
603.645.9687 | Fax: 603.645.9708
Name of Institution Attended: ____________________________________________________________________
Student ID# or SSN: ___________________________________________________________________________
City: ______________________________ State: ___________________ Zip Code: ________________________
Month/Year you started: _______ /________ to Month/Year you stopped attending: _______ /_______
Degree Earned: _________________________________________________________________________________
(Legal) First Name: ______________________________________________________________________________
(Legal) Last Name: _______________________________________________________________________________
Date of Birth: __________________ /__________________ /__________________
Any previous last names (if applicable): ______________________________________________________________
Current Address: ________________________________________________________________________________
City: ______________________________ State: ___________________ Zip Code: __________________________
Email: ________________________________________________________________________________________
Phone Number: _________________________________________________________________________________
Student Information
Student Signature*:________________________________________________________Date: ______________________
*I hereby authorize a faxed or emailed copy of this signature to be used in lieu of the original.
Student must submit signed form by Fax to 603.645.9708, or mail to:
Southern New Hampshire University, Office of Transfer Admission, 2500 North River Road, Manchester, NH 03106
In order to process this request, all fields must be entered completely and the prospective student must have completed an
application for admission to Southern New Hampshire University.
SNHU is a participant in e-SCRIP-SAFE’s Electronic Transcript Delivery Network.
