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
Participating Montana University System Institutions
Dawson Community College
Admissions Office
Admissions Office
300 College Dr.
1300 West Park St.
Glendive, MT 59330
Butte, MT 59702-8997
Flathead Valley Community College
Admissions Office
777 Grandview Dr.
Kalispell, MT 59901
Miles Community College
University of Montana
Admissions Office
Enrollment Services & Admissions
2715 Dickinson
Lommasson Center
Miles City, MT 59301
Missoula, MT 59812
Montana State University - Billings
College of Technology
Admissions Office
1500 University Dr.
909 South Ave. West
Billings, MT 59101
Missoula, MT 59801-7190
Montana State University - Bozeman University of Montana - Helena
Enrollment Services
Admissions OfficeP.O. Box 172180
1115 North Roberts
Bozeman, MT 59717-2180
Helena, MT 59601
Montana State University - Northern
University of Montana - Western
Admissions Office
Admissions Office
P.O. Box 7751
710 South Atlantic
Havre, MT 59501
Dillon, MT 59725
Office Official Only: I hereby certify this record is complete. All documents
relevant to admission at our institution have been transferred to you in full.
Signature of the Registrar
Date
MACRAO STAMP
April 2008 - MSU Bozeman - Office of the Registrar
Billings, MT 59102
3803 Central Ave.
New Student Services
Montana State University -
Montana State University -
Montana Tech of the
Butte, MT 59702-8997
1300 West Park St.
Admissions Office
Montana Tech of the U of M
Billings College of Technology
College of Technology
University of Montana - Missoula
University of Montana
Great Falls College of Technology
Admissions Office
2100 16th Ave. South
Great Falls, MT 59405
Enrollment Services & Admissions
College of Technology
1115 North Roberts