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Is 10 C WRDSB Transcript Request Form

This transcript request form outlines the process and requirements for obtaining a transcript from the Waterloo Region District School Board. It notes that the transcript fee is $15 for the first copy and $5 for each additional copy, up to a maximum of $20. Completed forms along with payment and photo ID will be processed within 48 hours. The form requests applicant information such as name, date of birth, address and school details. It specifies how transcripts can be picked up or mailed and provides instructions on where and when to submit the completed form.

Uploaded by

Conan Lai
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
45 views

Is 10 C WRDSB Transcript Request Form

This transcript request form outlines the process and requirements for obtaining a transcript from the Waterloo Region District School Board. It notes that the transcript fee is $15 for the first copy and $5 for each additional copy, up to a maximum of $20. Completed forms along with payment and photo ID will be processed within 48 hours. The form requests applicant information such as name, date of birth, address and school details. It specifies how transcripts can be picked up or mailed and provides instructions on where and when to submit the completed form.

Uploaded by

Conan Lai
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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IS-10-C

TRANSCRIPT REQUEST FORM


TRANSCRIPT FEE: $15.00 for the first copy, $5.00 for each additional copy, to a maximum of $20.00.
Note: Your transcript request will be processed within 48 hours of receipt of this completed form, as well as the applicable non-refundable
fee(s) and photo ID containing your name and date of birth.
APPLICANT INFORMATION (Please Print)
Last Name:

First Name:

Last Name: (while in school)

Other Names Used:

Middle Name:

Gender:

Date of Birth:
(year/month/day)

Last Secondary School Attended:

Current Mailing Address:

Last Year of Attendance:

OEN Ontario Education Number: (if


known)

WRDSB Student Number:


(if known)

City/Country:

Postal Code:

Home: ( )
Bus: ( )
Fax: ( )
E-Mail:

Reason for Request:


University

College

Re-entry to
Secondary School

Employment

Other (Please specify):


______________________________________

DISTRIBUTION INFORMATION (Please Print)


Number of Transcripts
I, the undersigned do hereby authorize the Waterloo Region District School Board to release a copy of
Required:
my student transcript(s) as indicated below:

Date:

Signature:
PICKUP

MAIL OR FAX

By Applicant

To Applicant (at address indicated above)

By Other:

To Other: (if mailing to more than one location,


provide details on reverse)

(indicate Full Name of Authorized Person)


Additional Comments:

Name

Applicant will be notified when transcript is available for pick up.


Photo ID must be presented to obtain Transcript.

Mailing Address

Date OST Received: ___________________________________

City

Province

Postal Code

Fax #:
Signature: ___________________________________________
Post-Secondary Ref. No (if applicable) ______________________

FOR OFFICE USE ONLY (To be completed by Board Staff)


Payment received:

Proof of identity received/confirmed

Amount: $_______________________
Signature of Office Personnel
Cash

Money Order

Date:

During the school year, please return this completed form to your last WRDSB secondary school. During the summer, or if your secondary school is closed, please send it to the following
address (along with the appropriate money order and a photocopy of your photo ID): Melanie Maar, Waterloo Region District School Board, 51 Ardelt Avenue, Kitchener, ON N2C 2R5.
The information collected on this form is subject to the Municipal Freedom of Information and Protection of Privacy Act. Questions about the collection of this personal information should be
directed to the Freedom of Information, Privacy and Records Information Management Officer, Waterloo Region District School Board.

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