Student Information *
Legal last name * First name * NLC Student Number *
Previous name (if applicable)* Birthdate (yyyy/mm/dd) *
Current address * City *
Province * Country * Postal code *
Email * Phone Number *
Would you like us to update your current mailing address on file with the above details? * Yes No
Instructions
Delivery Method (choose one only) *
Mail to my address above
I will pick up at ____________________ campus (photo ID required)
Pick-up for Rush Orders is only available at Dawson Creek
campus & Fort St. John campus
Mail to the destination information below
Submit a separate request for each destination
Processing Instructions (choose one only) *
Issue transcript(s) immediately
HOLD for End of Semester Grades (current semester only)
Rush Orders are not available for this option
HOLD for Graduation (your Request to Graduate form must
already be submitted)
Rush Orders are not available for this option
Order Info *
Regular Order
Processed within 5 business days.
Mailed or emailed or faxed.
# of copies ____________ X $10 + GST per copy
RUSH Order
Processed by 11am next business day, if ordered before 2pm.
Mailed or emailed or faxed.
Includes Xpresspost at no extra charge.
# of copies ____________ X $30 + GST per copy
Destination Information
Send official transcript(s) to:
Name of individual and/or organization:
Address
City, Province/State Postal Code Country
Special Instructions (if applicable)
Signature
Student records are confidential and are not released without the written consent of the student, unless otherwise required by law. NLC considers
falsified requests to be fraudulent. Your signature indicates you are requesting your record and the information you provided on this form is
correct.
Student Signature*
Date*
Campus Services Use Only
Campus Services Clerk
Ensure form is complete
Update mailing address in Colleague if applicable
FTRAR A/R code (01) for regular order payment. FTRRR (01) for rush payment
Scan and send form to Student Records
Processed by (initials):
Date payment received:
Student Records Use Only
Notes
Updated January 2021 An Office of the Registrar form
OFFICIAL TRANSCRIPT REQUEST
Use this form to request official NLC transcripts
See Page 2 for detailed instructions.
* indicates a required field
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signature
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