Fillable Transcript Request Form - Niagara College printable pdf download

TRANSCRIPT REQUEST FORM

Fax to Registrar’s Office at (905) 736-6000

or email to registrar@niagaracollege.ca

PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING

APPLIED DREAMS.

PLEASE PRINT CLEARLY

Last Name

First Name

Student Number (if known)

Current Address – Street

City, Province

Postal Code

Home Phone

Business Phone

Date of Birth

Maiden/Previous Last Name

Program

Last Year Attended

Specify number of transcripts required (1 to 5) [

] (Limit of 5 transcripts per request)

Send transcript:

Now

End of Term (will include Final Grades for Current Term)

Mail to Address above

Sealed envelope required

Mail to Address below

Welland Campus

Pick-up *

NOTL - Campus

Select Pick-up Location:

* Transcripts can be picked up at the Registrar’s Office (please specify the campus). Photo identification must be presented at

time of pick-up. Transcripts cannot be faxed or emailed.

IMPORTANT – IF YOUR TRANSCRIPT IS REQUIRED BY AN EDUCATIONAL INSTITUTION, IT MUST BE MAILED DIRECTLY BY

NIAGARA COLLEGE. MOST COLLEGES AND UNIVERSITIES WILL NOT ACCEPT A TRANSCRIPT UNLESS MAILED DIRECTLY

FROM THE REGISTRAR’S OFFICE.

Mailing address(es) (if different than above)

____________________________________________________________________________________

I, the undersigned, hereby authorize Niagara College or its representative to furnish official transcripts of my

academic records as indicated above or on attached correspondence. I hereby waive any right of action

against Niagara College or its representative who provides the official transcript in compliance with this

authorized request.

Student's Signature _________________________________________ Date______________________

FOR OFFICE USE ONLY

Date mailed

Date picked up

FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT

The Office of the Registrar at Niagara College collects and maintains information for the purpose of admissions, registration, and the administration of other fundamental student

programs and services. The personal information requested on this form is collected in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) and under

the authority of the Ontario Colleges of Applied Arts and Technology Act. Any questions about this collection should be directed to the Registrar, Niagara College, 300 Woodlawn

Road, Welland, Ontario, L3C 7L3 Email:

registrar@niagaracollege.ca

Phone: (905) 735-2211 ext. 7500.

Registration and Records, June 2014