Personal information
Current surname First name Middle name(s)
Check here if your surname
has changed since you
were last registered in
Student # Date of birth (yyyy/mm/dd) Gender
Mailing address Community Postal code
Email address
Territory/province Telephone Fax
Current/most recent secondary school attended
Grade Year Name of school Community
Transcript order (you will receive a copy of the transcript for conrmation purposes)
Transcript requests may be honoured immediately or held pending the completion of the current examination
period specied. Time periods for the release of transcripts are listed below. No fees are required.
Use the following codes to indicate the time periods for which you require a transcript:
1. Immediately 3. Second semester results/June exams
2. First semester results/January exams 4. Summer school results/August exams
Send to the
following institutions
Mailing address (include community,
province/territory, postal code, fax #)
application #
Student signature (required) Date
Your ofcial transcript will include any or all of the following:
1. All secondary courses completed in Nunavut
2. Nunavut equivalencies resulting from the evaluation of out of territory documents
3. The results of departmental examinations
Note: a copy of your transcript will be sent to you at your home address.
Ofce use only Date received Date processed
Email completed form to:
Request for Transcript