UNIVERSITY OF MICHIGAN-FLINT
OFFICE OF THE REGISTRAR
266 UNIVERSITY PAVILION
PHONE: 810-762-3344
FAX: 810-762-3346
RELEASE OF INFORMATION REQUEST
NAME: ___________________________________________________________
STUDENT ID: ______________________ TELEPHONE: _______________________
Required Required
PLEASE PLACE THE APPROPRIATE YEAR FOR THE SEMESTER LISTED BELOW
FALL __________________________ WINTER___________________________
FALL __________________________ WINTER___________________________
SPRING________________________ SUMMER__________________________
______ Please prepare a letter confirming my tentative graduation date and tentative degree.
******SPECIAL NOTE: IF YOUR DEGREE HAS ALREADY BEEN POSTED TO
YOUR OFFICIAL TRANSCRIPT, YOU MUST ORDER A TRANSCRIPT******
______ Please prepare a letter confirming the following data: _____________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Write the complete address where the above requested information is to be forwarded.
______________________________________________________________________________
______________________________________________________________________
Student’s signature:______________________________________________________
Date of request: ______________________________________________________
OFFICE USE ONLY_BELOW THIS LINE___________________________________________________________________
Completed by: _______________________________________________________
Date completed: _______________________________________________________
REVISED SEP 2011
STANDARD TURN-AROUND TIME IS 2-3 BUSINESS DAYS