Request for Official Transcript 1828 L Street NW, Suite 1200, Washington, DC 20036, USA
Delivery Deadline: January 20, 2012 DATE:
[Applicant enter current date]
INSTRUCTIONS TO STUDENT (This is a "fill-in" form):
1. Type your information onto the lines in this section. 2. Print the form (You may also Save your filled-in form.) 3. Sign the form. 4. Give the original signed form to your university registrar, and ask him/her to mail your transcript directly to the Arabic Overseas Flagship Program at the address below.
TO:
University Registrar
FROM:
[Applicant complete this section]
Student’s Name:
Student ID Number [If required by school]:
Address:
Date of Birth:
Social Security Number:
[If required by school]
Dear Sir or Madam, I have submitted an online application to the Arabic Overseas Flagship Program for a scholarship to study abroad. The Arabic Overseas Flagship Program is sponsored by The Language Flagship through the National Security Education Program (NSEP), and administered by American Councils for International Education: ACTR/ACCELS. Please send my official transcript to the Arabic Overseas Flagship Program at: Arabic Overseas Flagship Program American Councils for International Education 1828 L St NW Ste 1200 Washington DC 20036‐5136 NOTE: Please do not return this form with the transcript. The envelope must be received by the Arabic Overseas Flagship Program no later than January 20, 2012. Thank you! X
[Applicant sign here]
For information about the Arabic Overseas Flagship Program please visit…
www.thelanguageflagship.org
flagship.americancouncils.org/arabic
www.americancouncils.org
1828 L Street NW, Suite 1200, Washington, DC 20036, USA Afghanistan Albania Armenia Azerbaijan Belarus Bosnia and Herzegovina Bulgaria China Croatia Egypt Georgia Jordan Kazakhstan Kosovo Kyrgyzstan Macedonia Moldova Montenegro Nigeria Russia Serbia Syria Tajikistan Tanzania Turkmenistan Ukraine phone[202]833-7522
f a x [ 2 0 2 ] 8 3 3 - 7 5 2 3
w w w. a m e r i c a n c o u n c i l s . o r g
[email protected]