4401 university drive transcript request form lethbridge ... · registrar's office 4401...

Registrar's Office 4401 University Drive Lethbridge, Alberta T1K 3M4 Fax: 403-329-5159 Phone: 403-320-5700 [email protected] Email Address: Please send transcripts to the following address(es): Location 1: Name: Full Mailing Address: Number of Copies: 1 How would you like your transcript sent? 2 Location 2: Name: Full Mailing Address: Location 3: Name: Full Mailing Address: TRANSCRIPT REQUEST FORM Last Name: First Name: Transcripts cannot be sent electronically The personal information on this form is collected under the authority of the Post-secondary Learning Act (Alberta) and the Freedom of Information and Protection of Privacy Act (Alberta). Your information will be used for admission, registration, scholarships and awards administration; academic progress monitoring, planning and research; alumni relations; contacting you about University courses and services; and operating other University-related programs. The University of Lethbridge may share and disclose information within the University to carry out its mandate and operations. Specific data will be disclosed to the relevant student associations, and to the federal and provincial governments to meet reporting requirements. For questions on the collection, use and disclosure of this information, please contact the University’s FOIP Coordinator at 4401 University Drive West, Lethbridge, AB T1K 3M4; email: [email protected]; tel: 403-332-4620. Date: University of Lethbridge ID Number: (if known) HELPFUL TIP: We will process your transcript after receiving payment upon submission of this form as long as there is not a hold on your account. If you are waiting for final grades, grade changes, degree completion, or another change to your transcript, please submit this form once the anticipated changes are recorded. This will ensure that the transcript you request has the information you need! 1 The charge for each printed, official transcript is $10 per copy. Contact the Registrar's Office to arrange for payment (by phone 403-320-5700, by email [email protected], or in person, Lethbridge - SU140). 2 There is no additional fee for standard mail or in-person pick-up. If you do not pick up your transcript within two business days after paying and submitting the request, we will mail it to you. You are responsible for the cost of the courier or fax. Contact the Registrar's Office to arrange for payment (by phone 403-320-5700, by email [email protected], or in person, Lethbridge - SU140). DECLARATION I hereby authorize the University of Lethbridge to release the transcript of my academic record to the people and/or institutions stated above. Once complete, please save this form and attach it to an email addressed to [email protected] from your preferred email address or submit a paper copy to the Lethbridge Registrar's Office (SU140) or the Calgary Campus Office (S6032). Student signature required if submitting paper copy Date Date of Birth: Phone Number: Former Last Name(s)/Family Name(s): (if applicable) o Mail o Picked up from Registrar's Office (SU140) o Courier o Fax _________________________________ How would you like your transcript sent? 2 o Mail o Picked up from Registrar's Office (SU140) o Courier o Fax _________________________________ How would you like your transcript sent? 2 o Mail o Picked up from Registrar's Office (SU140) o Courier o Fax _________________________________ Number of Copies: 1 Number of Copies: 1

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Registrar's Office 4401 University Drive Lethbridge, Alberta T1K 3M4 Fax: 403-329-5159 Phone: 403-320-5700 [email protected]

Email Address:

Please send transcripts to the following address(es):Location 1:Name:

Full Mailing Address:

Number of Copies:1 How would you like your transcript sent?2

Location 2:Name:

Full Mailing Address:

Location 3:Name:

Full Mailing Address:

TRANSCRIPT REQUEST FORM

Last Name: First Name:

Transcripts cannot be sent electronically

The personal information on this form is collected under the authority of the Post-secondary Learning Act (Alberta) and the Freedom of Information and Protection of Privacy Act (Alberta). Your information will be used for admission, registration, scholarships and awards administration; academic progress monitoring, planning and research; alumni relations; contacting you about University courses and services; and operating other University-related programs. The University of Lethbridge may share and disclose information within the University to carry out its mandate and operations. Specific data will be disclosed to the relevant student associations, and to the federal and provincial governments to meet reporting requirements. For questions on the collection, use and disclosure of this information, please contact the University’s FOIP Coordinator at 4401 University Drive West, Lethbridge, AB T1K 3M4; email: [email protected]; tel: 403-332-4620.

Date:University of Lethbridge ID Number: (if known)

HELPFUL TIP:We will process your transcript after receiving payment upon submission of this form as long as there is not a hold on your account. If you are waiting for final grades, grade changes, degree completion, or another change to your transcript, please submit this form once the anticipated changes are recorded. This will ensure that the transcript you request has the information you need!1 The charge for each printed, official transcript is $10 per copy. Contact the Registrar's Office to arrange for payment (by phone 403-320-5700, by email [email protected], or in person, Lethbridge - SU140).2 There is no additional fee for standard mail or in-person pick-up. If you do not pick up your transcript within two business days after paying and submitting the request, we will mail it to you.You are responsible for the cost of the courier or fax. Contact the Registrar's Office to arrange for payment (by phone 403-320-5700, by email [email protected], or in person, Lethbridge - SU140).

DECLARATION I hereby authorize the University of Lethbridge to release the transcript of my academic record to the people and/or institutions

stated above.

Once complete, please save this form and attach it to an email addressed to [email protected] from your preferred email address or submit a paper copy to the Lethbridge Registrar's Office (SU140) or the Calgary Campus Office (S6032).

Student signature required if submitting paper copy Date

Date of Birth: Phone Number:

Former Last Name(s)/Family Name(s): (if applicable)

o Mail o Picked up from Registrar's Office (SU140) o Courier o Fax _________________________________

How would you like your transcript sent?2o Mail o Picked up from Registrar's Office (SU140) o Courier o Fax _________________________________

Number of Copies:1

mailto:[email protected]