Fillable REQUEST FOR STUDENT RECORD OR TRANSCRIPT (Grand Erie District School Board)

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REQUEST FOR STUDENT RECORD OR TRANSCRIPT (Grand Erie District School Board)

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The REQUEST FOR STUDENT RECORD OR TRANSCRIPT (Grand Erie District School Board) form is 1 page long and contains:

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  • 6 check-boxes
  • 18 other fields

Country of origin: CANADA
File type: PDF

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Retention: CY +1 year (CY = current year)
REQUEST FOR STUDENT RECORD OR TRANSCRIPT
( (in accordance with the Education Act & Regulations)
Please mail this form to Grand Erie Learning Alternatives, 365 Rawdon Street, Brantford, ON N3S 6J3
First Name (Given)
Middle Name
Surname
Full Name Used in School
Date of Birth
(MM/DD/YYYY)
Mailing
Address
Phone Number(s)
Last Grand Erie School Attended
Year of Graduation or Departure
Document Requested (please check below) $24.00 fee if departure from school 10+ years ago. ALL applicants must
submit a copy of their photo I.D. If paying by certified cheque or money order, they may be mailed. If paying by cash, debit
or credit card, please make an appointment, 519-753-6079. For e-transfers, please send to s-geb@granderie.ca.
☐
Secondary School Transcript
☐
Ontario Student Records
(archived)
Distribution Information (48-72 hours are required for processing from date receiving this form)
☐
I authorize release of the requested document(s) to:
☐
Email
Send to email address:
☐
Mail
Send to above address OR as below:
Unit/Street
City
Prov/Postal Code
Authorization (to be completed by Applicant)
I authorize Grand Erie District School Board to release the requested document(s) as specified in the Distribution Information section.
Personal information is collected under the authority of the Education Act R.S.O. 1990 and is used for processing this request.
Signature
Date
OFFICE USE ONLY
☐ Cash ☐ Chq/MO ☐ DR ☐ CC ☐ NC
☐ E-TRFR
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REQUEST FOR STUDENT RECORD OR TRANSCRIPT (Grand Erie District School Board)

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Completed 27 June 2021

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