Transcripts!

STUDENT / ALUMNUS INFORMATION (please print)

WLU ID # (if known): Last Name: Former Last Name (if applicable): Address: City : Phone: Province: E-mail: Postal Code: First Name: Date of Birth:

IMPORTANT NOTES
Cost per transcript: $10 (includes standard mail) Student records are confidential and transcripts are issued only at the written request of the student

DD / MM / YY

Requests are processed in receipt order typically 3-5 days extending to 7 days during peak periods Transcripts are prepared only if payment is received and there are no HOLDS on student record (check LORIS) Fax charge: Courier charges: $6

Signature:

Date: DD / MM / YY

$5 Ontario $15 Rest of Canada $20 USA $30 International * recipient phone # must be included for courier

This information is collected under the authority of the Wilfrid Laurier University Act to administer the university-student relationship. This includes but is not limited to maintaining your academic and ancillary records, contacting you, and others on your behalf, and releasing such information as is appropriate for the operation of the university. Consult the Privacy Coordinators webpage at www.wlu.ca/privacy for potential uses of your personal information. Privacy questions may be directed to privacy@wlu.ca.

PROCESSING INSTRUCTIONS (transcript required select one):

CURRENT official record AFTER Fall term grades are released (late-January) AFTER Winter term grades are released (mid-June) AFTER Spring term grades are released (mid-September) AFTER Summer term grades are released (mid-September) AFTER Convocation (degree conferred) - Year _____ Spring Fall

SEND TRANSCRIPTS TO:

Quantity:

! Pick up @ Service Laurier (202 Regina) ! Standard Mail ! Courier *: __ __ __ - __ __ __ - __ __ __ __ ! Fax : __ __ __ - __ __ __ - __ __ __ __

Quantity:

Attention (Person/Dept.) Street Address Province/State Postal Code

Institution/Organization City Country

! Pick up @ Service Laurier (202 Regina ! Standard Mail ! Courier *: __ __ __ - __ __ __ - __ __ __ __ ! Fax : __ __ __ - __ __ __ - __ __ __ __

Quantity:

Attention (Person/Dept.) Street Address Province/State Postal Code

Institution/Organization City Country

! Pick up @ Service Laurier (202 Regina) ! Standard Mail ! Courier *: __ __ __ - __ __ __ - __ __ __ __ ! Fax : __ __ __ - __ __ __ - __ __ __ __

Attention (Person/Dept.) Street Address Province/State Postal Code

Institution/Organization City Country

PAYMENT INFORMATION (mail/fax orders only):

Card #: Expiry Date: Cardholder Name: Signature:
For fax orders, fax to: 519-884-8826

OFFICE USE ONLY:

Total Amount Received: Payment Method:

STAMP

__ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ __ __ / __ __

$
! Cash ! Cheque ! Debit ! Credit

Please note we do not accept transcript requests by email.