ELP Grade Report Request Form

Grade Report Purpose
Grade Report Purpose
Delivery Options
Please note that the ELP processing time does not include delivery time
Student Information
Name
Title
Please type you date of birth (Month-Day-Year)
Mailing Address
Student Address
ELP Program Information
ELP Program Name
Please choose which course(s) you have taken at the English Language Program.
Enter the date when you started your program
Number of Grade Reports
These copies will be forwarded by the English Language Program to the requested colleges and/or universities.  You must provide the correct institution address(es) below.  it is your responsibility to follow up with each institution to confirm they have received the Grade Report.  
1. University or College
Please enter the name of the institution
Please enter you applicant or student number at this institution
Please enter the email of the contact person at this institution
1. Institution Address
Enter the mailing information for the university or college you would like the ELP to send your grade report to.  
2. University or College
Please enter the name of the institution
Please enter you applicant or student number at this institution
Please enter the email of the contact person at this institution
2. Institution Address
Enter the mailing information for the university or college you would like the ELP to send your grade report to.  
3. University of College
Please enter the name of the institution
Please enter you applicant or student number at this institution
Please enter the email of the contact person at this institution
3. Institution Address
Enter the mailing information for the university or college you would like the ELP to send your grade report to.  
If there are other details you need to provide, please indicate them here.