Use this form to help you obtain official academic records/transcript(s) from your senior secondary (high school)
or higher education (post-secondary) institution(s) to support your application. Your record(s) must be received
in an envelope sealed by the sending institution(s), including a signature/stamp across the back flap of the
envelope(s) (see MacEwan.ca/Admissions > Transcripts & Documents > From outside of Canada).
Last/Family Name: First/Given Name: MacEwan ID Number:
Previous Name (if applicable):
Date of Birth:
Institution Attended:
Dates Attended:
From ________________ To___________________
(month/year) (month/year)
Credential Name (if awarded):
Year of Award (if applicable):
Student ID/Roll Number at Institution:
With my signature below, I hereby authorize the release of my academic records (official transcripts) to
MacEwan University.
Applicant Signature
Date
Sending Institution
For authorized officials (registrar’s office staff, for example): The person above requests that their academic
record(s) (transcript, credential award and the like) be released to the Office of the University Registrar at
MacEwan University. The record(s) should show: all subjects attempted/completed courses, including
credits/units and all grades/marks awarded for all years of study and must be received in an envelope sealed
by the sending institution, including a signature/stamp across the back flap of the envelope(s).
Institution Former Name (if applicable):
Credential Awarded (if applicable):
Date awarded (month/year):
Name of Official Completing Form (please print/type):
Telephone (including country code):
Authorized Signature and Seal
Date
Please return this form and academic records to the address listed below:
Courier Address:
MacEwan University, Office of the University Registrar Building 7, 10700 – 104 Avenue NW Edmonton, Alberta
T5J 4S2 Canada
Phone: (Country Code: 1) 780-497-5000
