Transfer College Report

For the Applicant

Applicants must be in good academic standing and must not be under disciplinary review. Applicants must be eligible to return to their previous institution(s). This form must be completed and returned by a college official(s) who has access to your academic record and your disciplinary record.

Applicant Email Address*

Applicant First Name*

Applicant Middle Name

Applicant Last Name*

Applicant Birthdate*

Applicant Merrimack ID (if known)

College Official Contact Information*

*This is generally the Registrar's Office of the school.

College Official First Name

College Official Last Name

Institution*

Email Address* (to send further information)

Phone Number

FERPA release authorization*:

I acknowledge that every school that I have attended may release all requested records and recommendations to colleges to which I am applying for admission. I also understand that employees at these colleges may confidentially contact my current and former schools should they have questions about the information submitted on my behalf.

I waive my right to review all recommendations and supporting documents.

I DO NOT waive my right to review all recommendations and supporting documents.

Questions can be directed to Office of Admission:
via email: transfer@merrimack.edu
via phone: 978-837-5100
via mail: 315 Turnpike Street, North Andover, MA 01845

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Transfer College Report