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Student Transcript Request Form

This document contains a transcript request form for Mohawk College. [1] It requests personal information from the student such as name, student number, address and program of study. [2] The student selects the number of transcripts required and whether they should be mailed now, after grades or convocation. [3] The form outlines the transcript request process and policies regarding fees, signatures and outstanding balances.

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amolppote
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46 views1 page

Student Transcript Request Form

This document contains a transcript request form for Mohawk College. [1] It requests personal information from the student such as name, student number, address and program of study. [2] The student selects the number of transcripts required and whether they should be mailed now, after grades or convocation. [3] The form outlines the transcript request process and policies regarding fees, signatures and outstanding balances.

Uploaded by

amolppote
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FENNELLCAMPUS

BRANTFORDCAMPUS
STARRTCAMPUS
IAHSCAMPUS

TRANSCRIPTREQUESTFORM

THESQUARESTUDENTSERVICES
STUDENTSERVICES
STUDENTSERVICES
STUDENTSERVICES

135 Fennell Ave W., Hamilton, ON L8N 3T2

Tel.: 905-575-2000

411 Elgin St., Brantford, ON N3T5V2

Tel.: 519-758-6014

481 Barton St., Stoney Creek, ON L8E 2L7

Tel.: 905-575-1212 ext. 5021

1400 Main St W., Hamilton, ON L8S1C7

Tel.: 905-540-4247

Fax:
9055752109

SECTIONAPersonalInformation
NAME:[FIRST,MIDDLE,LAST]

STUDENT#:

PREVIOUSNAME(IFAPPLICABLE):

STREETADDRESS:CITY:PROVINCE:

POSTALCODE:

DATEOFBIRTH:

EMAILADDRESS:

HOMEPHONE#:

ALTERNATEPHONE#:

SECTIONBStudentRecordandGraduationInformation
Program/Course:

Campus

YearsAttended:

Graduated:NoYesYearofgraduation________

From________To________
Program/Course:

Campus

YearsAttended:
From________To________

Program/Course:

Campus

YearsAttended:
From________To________

Graduated:NoYesYearofgraduation________

Graduated:NoYesYearofgraduation________

PleaseAllow5to7BusinessDaysforProcessing

SECTIONCTranscriptsRequired

NumberofTranscriptsRequired:________
SendNowSendafterFinalGradesrecordedSendafterConvocation*

*TranscriptswillnotstateDiploma/Certificate
Awardeduntilaftertheconvocationceremony.

Printforpickupat__________________Campus
Faxto:_________________________
(name/organization)
_________________________
(faxnumberfaxedcopiesarenotofficial)

1.Thereisnofeeforprocessingtranscriptrequests.
2.Transcriptrequestsareonlyacceptedinperson,bymail,orbyfax,
asyoursignatureisrequired.
3.Youareresponsiblefortheaccuracyofallinformationonthisform.
4.Itisyourresponsibilitytoreviewyouracademicrecordforaccuracy.
5.Transcriptswillonlybereleasedforpickupuponpresentationofappropriate
IDorasignedletterofpermission.
6.Transcriptswillnotbereleasedforstudentswhohaveoutstandingliabilities
withtheCollege.

Mailto:HomeAddress
Institution(s)/Organization(s)listedbelow:
(forcolleges/universitieswithinOntario,includeyourreference#;forinstitutionsoutsideOntario,includemailingaddress)

*Pleaseincludeadditionalsheetsifinsufficientspace*

SIGNATURE:

DATE:

FOR OFFICE USE ONLY


DATEPROCESSED:_____________________PROCESSEDBY:____________MailedFaxedReadyforpickupat_____________
Updated:October2011(initials)

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