List all post-secondary institutions attended, specifying campus and dates of enrollment
In order for the Registrar's Office to transfer your admissions and enrollment files to the correct Montana State University
System institution, you must provide the following information:
Have you been outside Montana more
than 30 days in the last 12 months?
Are you registered
to vote in Montana?
Name of Institution Location From (mm/yy) To (mm/yy)
Have you been convicted of a felony?
REQUEST FOR TRANSMITTAL OF APPLICATION MATERIALS
Provide the information below, print the form, sign it, and return the completed, signed form to the Office of The Registrar
at your current school. A fee of $8.00 is due at the time of submission.
If you have never attended an institution in the Montana State University System, you may not use this form; you must complete and submit an Application for Admission.
Student Name (Last, First Middle) Previous Name/NamesStudent ID# or SSN
Current Mailing Address
Email Address
How long have you lived in
the state of your residency?
Date of Birth (mm/dd/yyyy)
Yes
Year of most recent
Montana Tax Return:
State in which you
claim residency:
Yes NoNo
Name of Institution
to receive files:
Location:
Desired Major:Expected Term of Enrollment:
Have you been institutionalized for threatening or causing physical
or emotional injury to self, others, or property?
Have you been dismissed and/or suspended for academic or disciplinary reasons?
If "Yes," please explain:
NoYes
NoYes
NoYes
I understand that, by signing this transmittal request, I am authorizing the sending institution to include any information that is relevant to the admissions
decision and is part of my admissions file in the Montana State University System.
Applicant's Signature Date
City State Zip
From (mm/yy)Name of Institution
Phone Number
Complete Online, Print, SIGN, and mail
