OFFICE OF THE UNIVERSITY REGISTRAR
Mailing Address: P.O. Box 1796 • Edmonton, Alberta, Canada T5J 2P2
Phone: 780-497-5000 • Toll Free: 1-888-497-4622
Website: www.MacEwan.ca • E-mail: info@macewan.ca
FREEDOM OF INFORMATION & PROTECTION OF PRIVACY
Protection of Privacy - The personal information requested on this form is collected and protected under the authority of Part 2 of the Alberta Freedom of Information and Protection of
Privacy Act and the Post-Secondary Learning Act. It will be used for the enrollment process and student management consistent with that purpose. This information will be entered into and
retained in the ocial university student information system database. Direct questions expressly related to the collection and use of this information to the Associate Registrar, Records,
Oce of the University Registrar, MacEwan University, 10700-104 Avenue, Edmonton, AB, T5J 4S2, telephone 780-633-3110.
OFFICIAL TRANSCRIPT REQUEST FORM
Please ensure that you allow processing time in order to meet document deadlines at other institutions.
Note: Transcripts will not be issued to students with outstanding balances owing to MacEwan University.
The Oce of the University Registrar is not responsible for transcript deadlines at other institutions.
PERSONAL INFORMATION
DETAILS OF ATTENDANCE
STUDENT AUTHORIZATION
OFFICE USE ONLY
CONFIRMATION #
MAILING/ PICK UP INSTRUCTIONS
PROCESSING INSTRUCTIONS
PLEASE FILL IN ALL INFORMATION IN FULL (PLEASE PRINT)
STUDENT ID NO.:
(if known)
FAMILY (LAST) NAME: FIRST NAME: MIDDLE NAME:
FORMER NAME(S) (IF APPLICABLE)
ADDRESS: CITY/PROVINCE: POSTAL CODE:
BIRTH DATE:
MM __________ DD __________ YY___________
CHECK IF YOU WISH US TO UPDATE YOUR ADDRESS
HOME PH.: CELL: WORK PH.: EXT.
Check only ONE of the boxes below (Use a separate form for each request)
SPRING/ SUMMER
CURRENT/ PREVIOUS PROGRAM NAME: ATTENDED THE ALBERTA COLLEGE PRIOR TO JUNE 1, 2002 YES NO
WHICH YEAR(S) ATTENDED: NOTE: IF YOU TOOK HIGH SCHOOL COURSE WORK FROM ALBERTA COLLEGE, YOU MUST
CONTACT ALBERTA LEARNING TO OBTAIN A TRANSCRIPT
ENTERED BY: _____________________________________________________________________________
DATE: ____________________________________________________________________________________
SENT BY: ________________________________________________________________________________
DATE SENT: _______________________________________________________________________________
OR
(
PICK UP ____ # OF COPIES AT:
Note: If your name has changed since attending MacEwan and you would like it updated in our system, please provide at least one of the following official Government Issue identification:
Valid Drivers license* Provincial ID Card* Valid Passport* Citizen Documentation
*
Only current ID will be recognized as valid. Expired ID will not be accepted for a name change.
The Office of the University Registrar’s staff member shall verify ID.
PERSONAL INFORMATION COLLECTION NOTICE
The personal information requested on this form is collected under Section.33(c) of the Freedom of Information and Protection of Privacy Act for the purpose of one
or all of the following: to determine eligibility for admission and nancial assistance, to advise students about academic programs and to provide university services
at MacEwan University. Questions concerning this collection should be directed to the Lead, Privacy and Information Management at privacy@macewan.ca
Office of the University Registrar (Building 7, 7-110)
SCE Student Support Centre (Allard Hall 11-521)
I AUTHORIZE MACEWAN UNIVERSITY TO RELEASE THE TRANSCRIPT(S) REQUESTED.
SIGNATURE: _________________________________________________________
Signature not required if sent from a student @mymacewan.ca email account
DATE: _______________________________________________________________
FAX REQUEST: FAX# _____________________
ATTENTION: ________________________________
MAIL TO MY HOME ADDRESS (As listed above) # of copies ___________
MAIL TO AN ALTERNATE ADDRESS
__________ NAME: _____________________________________________
# OF COPIES ADDRESS: _________________________________________
_________________________________________
_________________________________________
WINTER
FALL
PROCESS IMMEDIATELY
(WITHIN 2 BUSINESS DAYS)
Note: Peak times may take 3-5 business days
(January and May)
PROCESS WHEN TERM GRADES AVAILABLE
This option will set your transcript to print after the grade submission deadline for the specified term
PROCESS WHEN
CREDENTIAL AWARDED
SPRING CEREMONY
FALL CEREMONY
CITY & PROVINCE:____________________________________
POSTAL CODE:_______________________________________
# OF COPIES
___________
TOTAL # OF COPIES
_________________________
(June)
(November)
*Staff Use Only - ID Verified and change processed
