Please PRINT in all sections.
This form will be used for mailing purposes.

PERSONAL INFORMATION - PLEASE PRINT PLAINLY

NAME:

STREET ADDRESS:

CITY: PROVINCE: ZIP:

DATE OF BIRTH:

FORMER SURNAME:

NUMBER OF TRANSCRIPTS REQUESTED:

 

INSTRUCTIONS

SEND transcript(s) immediately (normal processing time is 5 working days)

 

ADDITIONAL INSTRUCTIONS:

 

 

 

 

SEND TRANSCRIPT TO:

PERSON:____________________________________________________________________________

INSTITUTION:________________________________________________________________________

 

STREET:________________________________________ CITY:_______________________________

 

PROVINCE:_____________________ POSTAL CODE:____________________

 

 

STUDENT SIGNATURE: ________________________________  DATE: __________________
 

PLEASE NOTE:

1.       Please fill out a separate form for every mailing address.

2.       Normal processing time is 5 working days. Cost $ 15.00 per copy.

3.       The applicant is responsible for any mailing charges in excess of regular first class mail, if requested. (eg. fax, courier, priority post, etc.)

4.       Official transcripts will be sent directly to other universities, business organizations, etc

5.       A transcript will not be issued if student account is outstanding.

6.       Student records are confidential and transcripts are issued only on the written request of the student.

7.       Transcripts are prepared in the order in which requests are received. During peak periods such as August and September at least 14 days should be allowed.

8.       Payment for requested transcripts should be in the form of money order or certified cheque, and should be submitted with the request form. Transcripts will not be issued until fee is received.

 

OFFICE USE ONLY:
DATE SENT: ____________________________ ISSUED BY: _________________________________