Scribd
Upload
108 views

Transcript Request Form

This document is a request form for a student transcript. It collects information such as the student's name, address, contact details, student ID number, date of birth, and the program(s) attended. The student can choose to have the transcript sent by regular mail, courier, or for pick-up. They provide up to three addresses where the transcript should be sent. The form notes that transcripts will not be issued for students with an outstanding balance and that processing may take up to 5 business days.

Uploaded by

조용운
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
108 views

Transcript Request Form

This document is a request form for a student transcript. It collects information such as the student's name, address, contact details, student ID number, date of birth, and the program(s) attended. The student can choose to have the transcript sent by regular mail, courier, or for pick-up. They provide up to three addresses where the transcript should be sent. The form notes that transcripts will not be issued for students with an outstanding balance and that processing may take up to 5 business days.

Uploaded by

조용운
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Request for Transcript

Note: One form is required for each transcript of academic record request.

Student Information
Last Name First Name Maiden Name

Apt. #, Street # and Name Town/City

Province/State Country Zip/Postal Code

Tel No. Alternate Tel No.

Email

Student ID # Date of Birth (dd/mm/yy)

Program(s) Attended (Please indicate the transcript and number of official copies required)
Undergraduate Dates Attended No. of Copies

Graduate Dates Attended No. of Copies

Transcript Delivery Regular Mail Courier (Additional fees apply)

Send to student address above Will pick up/ Please call

Release transcript for pick-up to

Send to the following address(s): (Include name of individual/department, company/institution, and address)
1. 2. 3.

Student Signature Date

Notes: • Transcripts will not be issued for any student with an outstanding balance. Students are responsible for ensuring their
account is clear.
• Please allow 5 business days for the processing and mailing of a transcript. Delays may occur during peak seasons.
• Canada Christian College cannot be held responsible for lost or delayed mail.

OFFICE USE ONLY

Payment Method Visa Mastercard Debit Cash Cheque #

Amount Initial Date

You might also like