Utpa Request Transcript PDF Details

Looking to order a transcript from the University of Texas-Pan American? Then be sure to use the UTPA Request Transcript Form. This form is available on the university's website and makes it easy to submit your request. Plus, there are several payment options available so you can choose the one that works best for you.

Below are some information about utpa request transcript. It's definitely worth taking a few minutes to learn this prior to starting submitting your form.

QuestionAnswer
Form NameUtpa Request Transcript
Form Length1 pages
Fillable?Yes
Fillable fields26
Avg. time to fill out5 min 31 sec
Other namespan card form pdf, pan american request online, utpa university texas transcript, pan request transcript online

Form Preview Example

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REQUEST FOR TRANSCRIPT

The University of Texas-Pan American

 

 

 

 

 

 

________________

______________________

(1)

Last Name

First

Middle

(2) Date of Birth

(3) UTPA Student ID Number

 

 

 

 

 

 

________________

______________________

(4)

List previous name(s) under which your records may be filed.

 

 

 

(5) Date First Enrolled

(6) Date Last Enrolled

(7) STUDENT'S ADDRESS:

 

 

 

 

(8) MAIL TRANSCRIPT(S) TO: (Use a separate request for each address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email:

NOTE: Transcripts will not be sent if you have a financial obligation at UT-PA. Notify the office of the Registrar, (956) 665-2201, when this obligation has been cleared.

In accordance with PL 93-380, Section 438(b) (4) (B), Privacy Rights of Parents and Students, you are hereby notified that this information is released on the condition that you will not permit any other party to have access to this information without written consent of the individual involved.

Disclosure of your social security number (SSN) is requested from you in order for the University of Texas-Pan American to process your transcript request. No statute or other authority requires that you disclose your SSN for that purpose. Failure to provide your SSN, however, may result in delays in processing your transcript request until further information can be authenticated. Further disclosure of your SSN is governed by the Public Information Act (Chapter 552 of the Texas Government Code) and other applicable law.

(9) NUMBER OF TRANSCRIPTS TO BE MAILED: _______

Send Transcripts now

Hold for current semester grades

Hold for degree notation

(10)Your Social Security Number will be printed on your transcript unless you indicate otherwise by checking the box below. In order to send your transcript to other institutions electronically your Social Security Number is required:

No, do not print my Social Security Number

I authorize UT-Pan American to mail official transcript(s)

of my academic record to the address indicated:

____________________________

__________

(11) Student's Signature

(12) Date

FOR OFFICE USE ONLY

P C

FA

FAA

LIB

P O L

ORR

ST AF

TSP

Mail this Request for Transcript form to:

Office of the Registrar • The University of Texas-Pan American 1201 W. University Drive, SSB 1.150 • Edinburg, TX 78539-2999

Fax (956) 665-2212

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