Transcript of Academic Record Request

Official Transcript of Academic Record Request

Crandall University

Official Transcript of Academic Record Request

* Please note that when filling out this form, it is recommended that you use Mozilla Firefox as your browser. Using a different browser may result in the form not being submitted to the Registrar's Office.

Student ID #:

Degree:*

Surname:*

First name:*

Middle name:*

Date of Birth:*

If you've ever registered under another name, indicate it here (ie, maiden name):

Current Address:

Street:

City/Town:

Province:

Postal Code:

Phone:*

Last year attended:

Current Email Address:*

Would you would like us to update your address in our system using the information collected above? Please select below.

Select Yes or No to update address:

Terms

* Please allow up to five business days for processing.

* Transcripts are only processed if there are no outstanding financial obligations to the university.

* The student is responsible for providing accurate information for this request.

* By entering your name in the field below, you are authorizing the Registrar's Office the authority to release your academic transcript to the institution or individual named herein.

Student Signature:*

Date:*

Transcript Information

Please note that students can print off a copy of their Unofficial Transcript through their Netclassroom account.

Official Transcripts by mail or pickup are $10 per copy. Official Transcripts by courier within Canada are $15 per copy plus courier fees. Official Transcripts by international courier are $20 per copy plus courier fees.

Transcript Type:*

Number of copies required:*

Transcript Type:

Number of copies required:

Transcript Type:

Number of copies required:

Please check the box below if you need a letter of completion included with your transcript (only needed if you have completed program requirements but not yet graduated)

Letter of Completion:

Transcript Requirement Date:

Send as of this date

Send after December grades

Send after April grades

Send after Spring session

Send after November conferral (Graduation date will appear on transcript after Fall conferral)

Send after May conferral (Graduation date will appear on transcript after Spring conferral)

Delivery Method

Select Delivery Method:*

Please fill out delivery details below.

Fax #:

Fax to Attention of:

Email:

Email Attention to:

Mail/Courier to:

* Please note - Couriered transcripts cannot be delivered to a PO Box

Mail/Courier Attention to:

Pick up at office by:

Payment Method

Official transcripts require payment upon submission of this form. Crandall will notify the student of additional courier fees, and will require payment before the courier pick up is scheduled.

Payment Method*

For cash, debit and cheque, payment must be made and processed before transcript is prepared. If a credit card payment is selected, please fill out the information below.

I hereby authorize Crandall University to charge transcript fees to my credit card, as instructed, for the student named herein. By submitting this form I understand that it will have the same force as if I signed the credit card slip.

Cardholder's name:

Card number:

Security code(on back of card):

Amount:

Credit card expiry date:

You can contact the Registrar's Office by: Email: registrar@crandallu.ca Phone: (506) 858-8970 ext 302 Fax: (506) 863-6460