Français
Basket
Home
Adult High School Transcript and/or Diploma Request Form
Note:
All transcript and diploma fees are non-refundable and non-transferable
All fields with an asterisk (*) must be completed.
*
First Name:
Middle Name:
*
Last Name:
*
Street:
*
Municipality:
*
Province:
*
Postal Code:
*
Country:
*
Date of Birth
 
Example: yyyy-mm-dd
*
Telephone Number:
*
Email:
*
Check Appropriate Boxes
Adult High School Transcript (Fee $5)
Adult High School Diploma (Fee $10)
*
Total:
Complete this section only if you want these results sent to someone other than yourself
Name of Person or Institution:
Postal Code:
Street:
Municipality:
Province:
Country:
Fax:
Special Instructions