Russian Flagship 2012 University Transcript Request

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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 Russian Flagship 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 on‐line application to the Russian Flagship Program for a scholarship to study abroad. Russian  Flagship is sponsored by The Language Flagship and the National Security Education Program (NSEP), and  administered by American Councils for International Education: ACTR/ACCELS and St. Petersburg State University  (Russia).  Please send my official transcript to Russian Flagship at:      Russian 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 Russian Flagship no later than January 20, 2012.  Thank you!    X 

 

 

 

 

 

 

 

[Applicant sign here]   

For information about the Russian Flagship Program please visit…   

www.thelanguageflagship.org 

flagship.americancouncils.org 

eng.spbu.ru 

www.americancouncils.org 

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