Phone: 780.492.

3113
Web: uab.ca/ib

Admission Based on IB Predicted Total Grades

Applicants completing the full IB Diploma program may qualify for admission to the University of Alberta based on predicted results. To be
considered, you must have this form completed and authenticated by your IB coordinator with predicted grades issued after March 1. This
form must be submitted by April 30.
In addition to the competitive predicted IB points for your faculty, you also need to have the required courses for the specific program to
which you are applying. We also require an official final IB transcript to be submitted by August 1 for Fall admission.

Applicant Information
Last Name First Name Middle Name(s)

Telephone Fax Email

Date of Birth U of A Student ID U of A Faculty/Program

SUBJECT LEVEL PREDICTED GRADE TEACHER/COORDINATOR SIGNATURE

Full name i.e. Math Methods, English A: Literature (S or H) Indicate F (check box) if grade is final

1. qF

2. qF

3. qF

4. qF

5. qF

6. qF

7. qF

8. Additional Points qF

TOTAL PREDICTED POINTS /45 (INCLUDING ADDITIONAL POINTS)

Required for Verification Purposes

School Name Province/State Country

IB Coordinator
Name Signature Date (MM/DD/YYYY)

Telephone Email

Submit this document online:

This form must be submitted from an official school or ministry email address (not from a student account), to
transcripts@ualberta.ca

Personal information on this form is collected under the authority of Section 33(c) of Alberta’s Freedom of Information and Protection of Privacy Act for authorized purposes including admission and registration; administration of records, scholarships and awards, student services;
and university planning and research. Students’ personal information may be disclosed to academic and administrative units according to university policy, federal and provincial reporting requirements, data sharing agreements with student governance associations, to
International Baccalaureate Coordinators (for successful admissions ONLY), and to contracted or public health care providers as required. For details on the use and disclosure of this information call the Registrar at 780-492-3113 or see www.ualberta.ca/FOIPP

Last Updated: 02/2022 (University of Alberta)