Electronic Delivery
E-mail (preferred):
-
Can also be submitted online
(maryville.edu/ssc/transcripts)
-
Considered "official"
- Typically delivers within hours
Recipient (1)'s Name: __________________________________________________________________
E-mail Address or Fax: _________________________________________________________________
Recipient (2)'s Name: __________________________________________________________________
E-mail Address or Fax: _________________________________________________________________
Visitor Center
Gander Hall, Room 124
www.maryville.edu/ssc
E-mail: ssc@maryville.edu
Phone: (314) 529-9360
Fax: (314) 529-9925
Maryville University
Attn: Solution Squad
650 Maryville University Dr.
Saint Louis, MO 63141
Transcript Request Form
Student / Alumni Information
Last Name First Name Middle Initial
Last 4 Digits of SSN
Other names used while attending
Birth Date (MM/DD/YYYY)
Street Address
City
State
ZIP
E-mail Address Daytime Phone
Mobile Phone
Dates of Attendance
Check here if address/contact information should be
updated on your record. Name changes require a current,
government-issued photo ID for updating.
Current Students: Hold Requests (optional)
Grades - Process after grades are posted for (indicate semester & year):
Fall Spring
Summer
__ __ __ __
Degree - Process after degree is conferred for (indicate semester & year):
Fall Spring Summer
__ __ __ __
Postal Delivery Address #1
Number of transcripts requested: ___
Recipient's Name: _____________________________________________________________________
Street Line 1: _____________________________________________________________________
Street Line 2: _____________________________________________________________________
City/State/ZIP: _____________________________________________________________________
Required Student/Alumni Signature:
Date:
Delivery Options:
Walk-In/Pick-Up Only:
Number of Official Transcripts Requested: ___ Check here for sealed envelope(s)
In accordance with the Family
Educational R
ights and P
rivacy A
ct of 1974 (FERPA), 20 U.S. C. § 1232g, Maryville University is prohibited from releasing
financial or academic records without expressed consent of the student. More FERPA information is available online at www.maryville.edu/ssc/ferpa-4/.
The Student must sign and date this request in order to have their transcript released to the individual(s) listed below.
Transcripts cannot be released when a student has an outstanding financial obligation to the University.
Return this completed transcript
request form to
the email address
or fax number in
the
header of this
form.
Postal Delivery Address #2
Number of transcripts requested: ___
Recipient's Name: _____________________________________________________________________
Street Line 1: _____________________________________________________________________
Street Line 2: _____________________________________________________________________
City/State/ZIP: _____________________________________________________________________
Updated 8/2020
Student ID Number
Unofficial transcripts can be obtained directly from the student portal (https://selfservice.maryville.edu/) by those with active Maryville login credentials,
which includes current students or those who have been enrolled in the past year.
Fax:
- Considered "unofficial" by most recipients
Requests can be submitted electronically at www.maryville.edu/ssc/transcripts. Electronic submission will expedite your request.
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