Request for a “Teacher
OFFICE OF THE REGISTRAR
Waterloo, Ontario, Canada N2L 3G1
Evaluation” Letter
519-888-4567, ext. 33164 | fax 519-746-2882 | uwaterloo.ca/registrar/
Please include the $25.00 processing fee and any applicable courier costs. This processing fee entitles you to two copies of the letter. Add
additional courier costs if applicable.
Request for Qualifications Evaluation Council of Ontario (QECO)
Request for Alberta Teachers’ Association (ATA)
Other (specify) ___________________________________________________________________________________________
Select distribution:
Select method of mailing:
Send two copies of the letter to me.
Send the letter to QECO, ATA, or Other by regular mail.
Send one copy of the letter to QECO ATA Other
Send the letter to QECO, ATA, or Other by courier (add
applicable courier costs).
Indicate the address where the letter is to be sent.
Street address __________________________________________________________________________________________________
City _________________________ Province/State _______________ Postal/Zip code _____________ Country ____________________
Student information
Waterloo student identification number __________________________________________
Last name _____________________________________________________________________________________________________
First name _______________________________________________ Middle name(s) _________________________________________
Street address __________________________________________________________________________________________________
City _________________________ Province/State _______________ Postal/Zip code _____________ Country ____________________
Telephone (area code) __________ (number) ________________________ Email address _____________________________________
Complete the following information
As per instructions on the attached document, I am requesting the University of Waterloo to provide a letter to do the following.
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Student signature _________________________________________________ Date __________________________________________
Note:
This request will be processed as soon as possible after receiving:
o
all supporting documents
o
processing fee
o
any applicable courier costs: $10.00 per letter fee (Ontario); $20.00 per letter fee (Canadian locations outside of Ontario);
$25.00 per letter fee (United States); $35.00 per letter fee (outside of Canada and the United States)
o
copies of transcripts from other post-secondary institutions (if you received transfer credits from the University of Waterloo)
o
a paper copy of your Teacher Evaluation request letter
o
your selection for distribution and method of mailing completed at the top of this form
Credit card information
Credit card number ______________________________________________________ Expiry date (MM) __________ (YY) ___________
Name on credit card __________________________________________ Cardholder signature __________________________________
For office use only
Cash
Cheque
Debit
Money order
Credit card
WatCard
Other ____________________________________
Amount $ __________________ Received by _______________________________ Date Received _____________________________
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