NOTE: Tuition will be waived for visiting students registering for ROTC courses who are not from the DC
Consortium or USM Inter-Institutional programs. However, visiting ROTC students will be responsible
for Mandatory Fees (see https://billpay.umd.edu/undergraduate-tuition-and-fees). First-time students will
be responsible for a non-refundable $75 application fee.
R
R
O
O
T
T
C
C
R
R
E
E
G
G
I
I
S
S
T
T
R
R
A
A
T
T
I
I
O
O
N
N
F
F
O
O
R
R
M
M
Fall
Spring
20 ___
1. Social Security Number (first-time students): _________________ or UID: __________________
2. _____________________
Last Name
________________________
First Name
________________________
Middle Name
3. _________________________________________________________________________
Street Address
4._______________________
City
_______________
S
tate
_________________
Zip Code
5. _____________________
Home Phone Number
6. _______________________
A
lternate Phone Number

7. Gender:
Male
Female
8. Birth Date:_______________________
Citizenship Status:
9.
Home Institution: ___________________________________
10. ______________________________________________
Email address
11. Course Registration Information (Verify correct course & section numbers with ROTC and/or at
www.testudo.umd.edu/ScheduleOfClasses.html):
Cou
rse Prefix
(e.g.
, ARSC)
Course Number
(e.g., 101)
Course Section
(e.g., 0101)
Grading Method
(e.g., REG)
Credits
(e.g., 3)
NOTE:
If you decide to withdraw from all courses at the University, you must submit a written and signed withdrawal
request to the Office of the Registrar. Refunds for withdrawing from all courses are issued according to the
University’s academic deadlines (found at: http://registrar.umd.edu/calendar.html).
Registrar Address: 1113 Mitchell Bldg. College Park, MD 20742
Fax: 301/314-9568
If you have any further questions, call 301-314-8254 or email [email protected] .
_____________________________ _________________________
Signature of Applicant Date
Return all signed, completed forms to:
MAIL: 1113 Mitchell Bldg.
IN PERSON: College Park, MD 20742
FAX: 301-314-9568
EMAIL: interinstitutional@umd.edu
Additional Required Forms (Attach):
1. Letter of Verification of Enrollment from your
home institution
2. Documentation of your permission to enroll at
this institution
3. UMD Official Transcript Request Form
_________________
County
OFFICIAL TRANSCRIPT REQUEST
University of Maryland
First Floor, Mitchell Building
College Park, MD 20742
Fax: 301.314.9568
If you attended the University while in night
school, overseas, or the military, your records
are maintained by the University of Maryland
University College. Please contact that branch
directly on 301.985.7000 for information on
obtaining your transcripts.
____________________________________________________________________________________________
PLEASE NOTE: In order to ensure timely and accurate processing of your request, please complete all sections of this form. You are
responsible for complete and legible information. Your signature is required for the release of your transcripts. There is no fee for
transcripts.
For your convenience, students enrolled since 1972 may request transcripts online at www.testudo.umd.edu. Please ask us to provide you
with a student PIN.
STUDENT IDENTIFICATION # (SID)
| | | - | | | - | | | |
DATE OF BIRTH(MMDDYY)
LAST NAME FIRST NAME M.I.
LAST NAME (PREVIOUS)
Date(s) Degree(s) awarded at UMCP ONLY.
1. _________________________________________________________
2. _________________________________________________________
TRANSCRIPT MAILING ADDRESS
In the space provided below, please clearly print the complete name and address of the
transcript destination.
STUDENT SIGNATURE (MANDATORY)
X
__________________________________________________________
Today’s Date
_____________________________
DEADLINE
IF ANY
______________________________
Transcript requests are processed in the order of
receipt. If there is a deadline, every attempt will
be made to meet the request, however, the
University cannot guarantee that a deadline will
be met.
ATTENDANCE
Undergraduate
Graduate
Both
INDICATE ATTENDANCE DATES:
Sem./Yr.
Sem./Yr.
_________________
_________________
FIRST ATTENDED
LAST ATTENDED
Are you currently enrolled?
Yes
No
This request should not be processed until:
Current semester grades have been posted
Degree has been posted
PLEASE PRINT CLEARLY. YOU ARE RESPONSIBLE FOR COMPLETE AND LEGIBLE INFORMATION.
NUMBER OF COPIES:
Student’s Local Telephone No.
(8:30 a.m. – 4:30 p.m.)
COMPLETE NAME AND ADDRESS OF TRANSCRIPT DESTINATION
1
■
■
■
Enter address (for receipt of
transcripts) of your HOME
institution here