Current Last Name
TRANSCRIPT REQUEST FORM
THE SOLUTION CENTER
Financial Aid | Registrar | Student Financial Services
220 PAWTUCKET STREET, SUITE 131
LOWELL, MA 01854-5141
First Name M.I.
Former name if (applicable)
Name
Address 1
City State Zip Code
Mail Transcript(s) to: ***actual mailing time can take up to two weeks to reach the destination***
Student Signature Required
Approximate Dates of Attendance at UMass Lowell
If Graduate of UMass Lowell, List Dates
Zip
State
CityStreet
E-mail
Phone Number
Student ID# or SS#
Phone: 978-934-2000
STUDENT INFORMATION
Current Mailing Address:
TRANSCRIPT INFORMATION
Official transcript(s) will be picked up
Rev. 11/20/2023
Country
Address 2
Date of Birth
Date of Request
For Office Use Only:
Processor Name
Imager Name Verifier Name
Doc Type: Transcript Request
Required:
Please attach an official ID
(Student ID, State ID, License, or Passport).
Date Effective Term
Date
Official (Sealed) Transcript Unofficial Transcript
Number of Official Transcripts
Select one:
