Transcript Request Form - York University - Registrar'S Office

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Registrar’s Office
Transcript Request Form
Please note: you may be able to request your transcript online or on a walk-in/pick-up basis. For processing times and other
important information, visit registrar.yorku.ca/transcripts
Student Information (please print)
Student Number (if known)
Last Name/Family Name
Given Name(s)
Date of Birth (dd/mm/yy)
Telephone
E-mail
Faculty
o
Education
Osgoode
All
thers
Keep your information up-to-date! Make sure we have your current contact information. Visit Personal Information on the My Student
Records section of the Current Students Web site at yorku.ca/yorkweb/currentstudents/mystudentrecords
Which degree level were you most recently pursuing at York? (check one)
Years Attended York
Number of transcripts requested
Bachelor
Master
Doctoral
Student’s Signature
Date (dd/mm/yy)
Important notes:
1.
Please use a separate request form for each destination mailing address. Fax to 416-736-5444.
2.
Fee: $15 per copy (credit, debit card or money order only), plus any courier charges if requested (see below).
3.
If you have a form or document that must accompany your transcript, there is an additional $25 fee. Please make sure to submit
your document with this form.
4.
Pre-1992 Osgoode graduates should request their transcript from the Osgoode Hall Law School directly at
5.
Transcripts issued directly to a student are stamped “Issued to Student”.
6.
A transcript will not be issued if any University financial account is outstanding.
7.
York University transcripts do not include Additional Qualification (AQ) courses completed after 1993, Principal’s Qualification
Programs, Continuing Education or Schulich Executive Education courses.
When do you want your transcript produced?
ISSUE IMMEDIATELY transcript(s) currently on record
HOLD for all summer grades and academic decisions to be
released (early September)
HOLD for all fall term grades to be released (mid January)
HOLD until degree conferred:
June
October
HOLD for all winter term grades and academic decisions to be
released (mid May)
Pick-Up/Delivery and Payment Information
Person/Department
Institution/Organization
Pick-up
Street Name and Number
City
Standard Mail
Courier ($35 in Canada, $50 in the United
States and $100 International)
Province/State
Postal Code/ZIP Code
Country
Credit Card Number (MasterCard or VISA only)
Expiry Date (mm/yy)
Cardholder’s Signature
Office Use Only
Fee received by:
Credit Card
Money Order
$ _____________
Processed by ________________________
Protection of Privacy: Personal Information in connection with this form is collected under the authority of
The York University Act, 1965
for educational, administrative and
statistical purposes. The information will be used to process and make the payment for your transcript request, and for related record-keeping purposes. If you have any
questions about the collection, use or disclosure of this information by York University, please contact the Manager, Student Client Services, W120 Bennett Centre for
Student Services, York University, 4700 Keele Street, Toronto ON, M3J 1P3, 416-872-9675.
Transcript Request Form, July 2013

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