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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