
TRANSCRIPT REQUEST FOR INSTITUTIONS OTHER THAN UNO
(Transcripts are required from each college or university attended)
To:
Name of Institution
Address of Insitution
City State Zip-Code
From: Student's Last Name First Middle
Date of Birth: / /
Month Day Year
Any other names on record:
Social Security Number:
(or Former Student Number)
Dates of Attendance: / to /
Month Year Month Year
Please send two (2) official transcript directly to:
Office of Graduate Studies
University of Nebraska at Omaha
6001 Dodge Street
Omaha, NE 68182-0209
I have enclosed the requested transcript fee of : $
Comments:
Signature of Student Date