I N D E PE N DE NT LE ARNI NG CE NTRE C E N T R E D T U D E S I N D P E N DA N T E S

Independent Learning Centre P.O. Box 200, Station Q Toronto, ON M4T 2T1 Fax: 416.484.2754 Email: ilc@tvo.org

Request for Education Documents

COMPLETE THE FORM ONLINE AND THEN PRINT AND SEND.

TRANSCRIPT (final marks only) PROGRESS REPORT (requires 2 or more units marked) CONFIRMATION OF ENROLMENT (requires 1 unit marked) Note: You will automatically receive a certificate of completion upon successfully completing a course. You will receive your first two transcript requests and/or first two Progress Reports free of charge. A fee of $10 applies to each transcript or Progress Report copy requested thereafter. There is no charge for an enrolment confirmation. DUPLICATE DIPLOMA CERTIFICATE (ILC) Your ILC Student Number:

Student Information
Name: Date of birth:
year month day

Address:

City:

Postal Code:

Is this a new address?

Yes

No

Telephone (home or cell) with voice mail service:

Distribution
Where would you like ILC to mail your requested documents? (complete section below for each school or institution) Pickup from ILC office? YES NO
(Please note we require two business days to process your request)

If yes, please indicate the best phone number for us to reach you to advise you when your transcript is ready:

1. Name of Institution: Student/Reference # at University or College or OUAC/OCAS # Mailing Address: 2. Name of Institution: Student/Reference # at University or College or OUAC/OCAS # Mailing Address: 3. Name of Institution: Student/Reference # at University or College or OUAC/OCAS # Mailing Address: 4. Name of Institution: Student/Reference # at University or College or OUAC/OCAS # Mailing Address: Date of Request: Signature:

Contact Person:

City:

Province:

Postal Code:

Contact Person:

City:

Province:

Postal Code:

Contact Person:

City:

Province:

Postal Code:

Contact Person:

City:

Province:

Postal Code:

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Please turn the page and complete the other side (page 2).

Request for Education Documents (page 2)

Method of Payment
ILC issues two official Ontario Student Transcripts or two official Progress Reports free of charge. There will be an administration fee of $10.00 for each additional transcript or Progress Report request. Enrolment confirmations are provided free of charge. Indicate here if you want ILC to mail you a copy: YES NO

Number of transcripts requested: _____ $10 = $ _______ Total Fee Number of Progress Reports requested: _____ $10 = $ _______ Total Fee Number of duplicate OSSD/SSGD diploma certificates requested: _____ $10 = $ _______ Total Fee Fee to be paid by: VISA MasterCard Certified cheque (in Canadian dollars) money order (in Canadian dollars) Cash (only in person
Expiry date:

during office hours)

Total payment

Card number (print clearly)

Name on card: _____________________________________ Signature of cardholder: X________________________________________________ Important: If you are paying my certified cheque or money order, make it payable to TVO. Please note that personal cheques will not be accepted.

Important
 If you are requesting to send documents to a university or college, be sure to include your student/reference number OR your OUAC/OCAS application number for faster processing of your ILC documents once they are delivered to the school. Send requests for documents only after you have handed in the required number of units or written your final exam. Please note that official documents must be mailed. ILC does not fax or e-mail official documents. Processing time for transcripts, Progress Reports, and confirmations of enrolment is two business days. Processing time for duplicate diplomas is five to ten business days.

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