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It sort of depends on your class level. If you are a junior and your spring 2011 transcript includes grades for a required medical school req then you will
have to wait for your school to complete grades on finals before they can send the updated transcript to AMCAS. If on the other hand you are a senior (like me) I think it's ok to go ahead and submit a transcript without the current 2011 spring grades (i.e. all the grades up to fall 2010) because all the classes are upper-div and won't affect GPA calculation or course req by a whole lot.
Thanks for the answer. Technically I am on pace as if I were a junior (Class of 2012) but I'll finish in 3.5 years instead of 4. Spring '11 was all upper level electives. I ordered my transcript without this past semester's grades because if I waited it'd probably set me back 3 weeks. How would I go about updating it? Do I need to? When would that have to happen by?
In your case, when would you send Spring '11 grades? Thanks