Learner Attendance History/Proficiency Certificate Request Form

The standard processing time for eligible requests is 10 business days. Requested documents will be sent to the email address provided on your form

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Learner Name Learner Name * First Last
Student Reference Number *
Maximum of 13 characters allowed. Currently Entered: 0 characters.
*Reference number is found on your assessment results

(must contain at least 6 letters and 6 numbers)
Date of Birth Date of Birth * / MM / DD YYYY
Email Address *
Phone Number Phone Number * - ### - ### ####
Request Options
Indicate below the form you are requesting: *

Indicate below the form you are requesting: Letter of Attendance for Current Students
Available for learners currently enrolled in a YCDSB course and will include all YCDSB courses attended in the current school year. Learner Attendance History ($25 Fee)
Available to past and present learners who require their complete attendance history of all courses attended with YCDSB. Requests received without payment will not be processed. Language Proficiency Certificate
Available to learners who have collected evidence of level progression in at least one skill area while attending a YCDSB course. Requests that do not meet this requirement will not be processed.
Certification and Authorization
Declaration *

Declaration I certify that the information provided is true and correct. I confirm that I am the individual named in these records and that I am authorized to receive this personal information
Name Name * First Last
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date * / MM / DD YYYY
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Learner Attendance History/Proficiency Certificate Request Form

Learner Attendance History/Proficiency Certificate Request Form

C$`0`

Total

Request Options

Certification and Authorization

C$`0`

Total

Learner Attendance History/Proficiency Certificate Request Form

Learner Attendance History/Proficiency Certificate Request Form

C$0

Total

Request Options

Certification and Authorization

C$0

Total

C$`0`

C$`0`