MTA Transcript Review Request

Michigan Transfer Agreement (MTA) Transcript Review Request Form

Questions? Visit midmich.edu/transcript or contact Registration & Records at enrollment@midmich.edu or (989) 773-6622 x221 or x241.
Students who want their transcript reviewed for MTA eligibility will need to fill out this form below. Mid's Registration & Records Office will review your transcript and apply the Michigan Transfer Agreement (MTA) endorsement if applicable.
Name*

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Mid ID# or last four digits of SS#*
Last Semester at Mid*
example (Fall 2019)
Today's Date*

MonthDayYear
Date

For Internal Use Only
Select the MTA Review decision.*

MTA ApprovedMTA DeniedPending Complete with Registered Coursework
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In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.
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