Records Office Forms
The Records Office offers several services that require a form submission. The forms are listed below.
- Change Address/Telephone [PDF]
- Consent to Release [PDF]
- Name and ID Change [PDF]
- Preferred Name [PDF]
- Program Change Form (Web form; login required)
- Program Change Form [PDF; use if web form is unavailable]
- Forgiveness of Grades Request [PDF]
- Student Course Drop/Withdrawal (Web form; login required)
- Refund Request [PDF]
- High School Articulation Credit [PDF]
- Transfer Credit Re-Evaluation [PDF]
- Application for Graduation [PDF]
- Credential Reprint [PDF]
- Student Information Request [PDF]
- Multiple Program Approval Form [PDF]
There are three methods to submit non-electronic forms to our office. A photo identification is required with all form submissions that request updates to name, address, phone numbers, and/or email addresses. Please review each form for any additional documentation that may be requested.
- In person: You may submit records forms to our office in Medlin Campus Center,
Suite 3500 in Jamestown. We are open 8 a.m.-6 p.m. Monday-Thursday and 9 a.m.-5 p.m. Friday. - eFax: You may fax us the form with the appropriate documentation to 336-458-2359.
- Scan and email: Please scan and email the form and appropriate documentation to [email protected]