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I also authorize Montcalm Community College to 1. evaluate to determine if I am eligible for an associate s degree 2. release the results of their graduation review to Central Michigan University of outstanding requirements 3. send a transcript to Central Michigan University if a degree is awarded Student Signature Date Federal law requires the student signature for release of transcripts. Central Michigan University and Montcalm Community College Reverse Transfer Transcript Release Form Please complete and sign this form and either bring mail or fax to Registrar s Office 212 Warriner Hall Mount Pleasant MI 48859 Phone 989 774 3261 Fax 989 774 3783 PERSONAL INFORMATION CMU ID SCTC ID Name Last First Middle Previous Last Name if applicable Birthdate MM/DD/YYYY Current e mail address Current mailing address Number and Street City State Zip Code Daytime phone number Date last attended Montcalm Community College MAILING INFORMATION 2274 Enterprise Drive AUTHORIZATION TO RELEASE ACADEMIC RECORDS Please forward a transcript to 2800 College Dr. Sidney MI 48885 FERPA COMPLIANCE I authorize Central Michigan University to send my transcript to Montcalm Community College for review under the Reverse Transfer Agreement. I also authorize Montcalm Community College to 1. evaluate to determine if I am eligible for an associate s degree 2. release the results of their graduation review to Central Michigan University of outstanding requirements 3. send a transcript to Central Michigan University if a degree is awarded Student Signature Date Federal law requires the student signature for release of transcripts. Central Michigan University and Montcalm Community College Reverse Transfer Transcript Release Form Please complete and sign this form and either bring mail or fax to Registrar s Office 212 Warriner Hall Mount Pleasant MI 48859 Phone 989 774 3261 Fax 989 774 3783 PERSONAL INFORMATION CMU ID SCTC ID Name Last First Middle Previous Last Name if applicable Birthdate MM/DD/YYYY Current e mail address Current mailing address Number and Street City State Zip Code Daytime phone number Date last attended Montcalm Community College MAILING INFORMATION 2274 Enterprise Drive AUTHORIZATION TO RELEASE ACADEMIC RECORDS Please forward a transcript to 2800 College Dr. Sidney MI 48885 FERPA COMPLIANCE I authorize Central Michigan University to send my transcript to Montcalm Community College for review under the Reverse Transfer Agreement. Sidney MI 48885 FERPA COMPLIANCE I authorize Central Michigan University to send my transcript to Montcalm Community College for review under the Reverse Transfer Agreement. I also authorize Montcalm Community College to 1. evaluate to determine if I am eligible for an associate s degree 2. I also authorize Montcalm Community College to 1. evaluate to determine if I am eligible for an associate s degree 2. release the results of their graduation review to Central Michigan University of outstanding requirements 3.

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