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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