CLA Request Form

To request PLAR information, please complete and submit this form. Asterisked fields must be completed.

Contact Information

*First Name:

*Last Name:

*E-mail Address:

*Home Telephone Number:

AU Student ID#:

Street Address:

City/Town:

Province/State:

Postal/Zip Code:

Work Telephone Number:

Comments or Questions

Do you want to ask us or tell us something regarding our PLAR process or web site? Please enter your comments (try to limit your comments to fewer than 100 words).

Comments or Questions

The Centre for Learning Accreditation operates during regular business hours (8:30 a.m. to 4:30 p.m.) within the Mountain Standard Time zone.

I was referred to the Centre for Learning Accreditation by...

To help us improve our services, please tell us how you heard about Athabasca University's PLAR process.

an AU Advisor

a friend

the AU Info Centre

an AU Tutor

Financial Aid

I found it myself

a related web site

Other - please indicate how you heard about AU's PLAR process.

Referred by:

The personal information collected on this form will be used to process your request for assistance and is collected under the authority of section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this personal information, contact PLAR at Athabasca University, 1 University Drive, Athabasca AB T9S 3A3; Telephone (780) 675-6348; e-mail plarinquiries@athabascau.ca