Commonly Needed Forms
The following forms are PDF documents and require the use of the Adobe Acrobat® Reader which can be downloaded at .
Form: Application for AA/AS Degree
Purpose: Apply for an Associates of Arts and/or Associates of Science from MSJC. You may need to submit an Application for AA/AS Degree when applying for multiple degrees from MSJC. 
Location to Submit: Enrollment Services Secure Document Upload . Select Other from the dropdown options.  
Additional Documentation Required: None
±Ê°ù´Ç³¦±ð²õ²õ¾±²Ô²µâ€¯T¾±³¾±ð´Ú°ù²¹³¾±ð: Varies
Student Notification: ·¡³¾²¹¾±±ô &²Ô²ú²õ±è;
Form: Application for Certificate
Purpose: Apply for certificate, or for general education lower-division certification for transfer to a university from MSJC. You may need to submit an Application for Certificate when applying for multiple awards from MSJC. 
Location to Submit: Enrollment Services Secure Document Upload . Select Other from the dropdown options. 
Additional Documentation Required: None
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Student Notification: Email
Form: Duplicate Diploma/Certificate Request
Purpose: Request a copy of your diploma or certificate award
Location to Submit: Enrollment Services Secured Document Upload . Select Other from the dropdown options. 
Additional Documentation Required: Possible name change documentation
±Ê°ù´Ç³¦±ð²õ²õ¾±²Ô²µâ€¯T¾±³¾±ð´Ú°ù²¹³¾±ð: Varies
Student Notification: Email
Form: Foster and/or Homeless Youth Declaration
Purpose: Students who are under the age of 25 and are currently foster youth, or who have been foster youth in the past should use this form to obtain confirmation of their status as a foster youth. Submit the completed form and any supporting documentation to the EOPS/Guiding Light Department. 
Location to Submit: EOPS/CARE & Foster Youth Secure Document Upload .
Form: Loss of Priority Registration and CA College Promise Grant and/or Dismissal Appeal
±Ê³Ü°ù±è´Ç²õ±ð: 1. Students who have lost their priority registration due to exceeding 100 cumulative units of post-secondary credit. 2. Students who have been on two consecutive semesters of academic probation, progress probation, or a combination of the two, will lose their CCPG fee waiver eligibility. Submit this form and supporting documentation to appeal the loss of Priority Registration or the CCPG fee waiver based on an extenuating circumstance or significant academic improvement.
Location to Submit: Enrollment Services Secured Document Upload . Select Petition/Appeal from the dropdown options. 
Additional Documentation Required: Written statement and supporting documentation
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Student Notification: E³¾²¹¾±±ô
Form: Petition For Excused Withdrawal (EW)
Purpose: Request for a grade(s) of a W, NP, D or F to be changed to an EW due to illness, accident, or other unforeseen extenuating circumstance.  
Location to Submit: Enrollment Services Secured Document Upload . Select Petition/Appeal from the dropdown options. 
Additional Documentation Required: Supporting documentation 
Processing Timeframe: 3-5 business days  
Student Notification: E³¾²¹¾±±ô
Purpose: Must meet with an MSJC counselor for approval.
Location to Submit: Enrollment Services Secured Document Upload . Select Registration Changes from the dropdown options.
Additional Documentation Required: None
Processing Timeframe: 1-2 business days
Student Notification: Email
¹ó´Ç°ù³¾: Petition to Repeat
±Ê³Ü°ù±è´Ç²õ±ð: 1. Petition to Repeat - demonstrate the necessity to retake a course more than the allowable 3 attempts or to retake a course that has a passing grade but needs to be retaken due to recency. 2. Work in Progress - Students who would like to retake a course they are currently enrolled in but are going to earn a substandard grade.   
Location to Submit: Enrollment Services Secured Document Upload . Select Petition/Appeal from the dropdown options. 
Additional Documentation Required: Supporting documentation (program recency requirements if applicable) 
Processing Timeframe: 3-5 business days 
Student Notification: ·¡³¾²¹¾±±ô &²Ô²ú²õ±è;
Purpose: Must meet with an MSJC Counselor to clear a prerequisite or to complete the necessary form to challenge a prerequisite or co-requisite of a course.
Location to Submit: Enrollment Services Secured Document Upload . Select Prerequisite/Corequisite Challenge from the dropdown options.
Additional Documentation Required: Transcripts, a statement and supporting documentation (course outline, syllabus, etc.)
Processing Timeframe: 5-7 business days
Student Notification: Email
Form: Registration Change Form
Purpose: 1. Request to be reinstated or added late to a course after Add Authorizations have expired (refer to the Important Dates for the term).  2. Request to change from one section to another of the same course, within the same term or if requesting to change to a lower-level course of the same subject (ie: Math-110 to Math-105). Requesting to change to a higher-level course of the same subject, requires meeting with an MSJC Counselor for a Prerequisite Clearance.   
Location to Submit: Enrollment Services Secured Document Upload . Select Registration Changes from the dropdown options. 
Additional Documentation Required: Instructor signature is required or an email approval from the instructor in lieu of their signature will be accepted.  
Processing Timeframe: 3-5 business days 
Student Notification: ·¡³¾²¹¾±±ô â¶Ä¯&²Ô²ú²õ±è;
Form: Request for Credit for Prior Learning
Purpose: To demonstrate proficiency in a course eligible by requesting Credit for Prior Learning. You may be able to receive college credit through the approved alternative method (credit-by-exam, portfolio, workforce training certificates, industry-recognized credentials, etc.). 
Location to Submit: Enrollment Services Secured Document Upload . Select Evaluation of Transcripts from the dropdown options. 
Additional Documentation Required: Prior learning supporting documentation (certificate, credentials, exam scores, etc.) 
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Student Notification:  ·¡³¾²¹¾±±ô &²Ô²ú²õ±è;
Form: Request for Evaluation
Purpose: Request to have previous coursework from another college or university evaluated. This form is also used for course substitution, academic renewal requests, AP, CLEP or IB scores, and to clear a language other than English (IGETC – Area 6) requirement with high school coursework equivalent to two years and a grade of “C-“ or better.    
Location to Submit: Enrollment Services Secured Document Upload . Select Evaluation of Transcripts from the dropdown options. 
Additional Documentation Required: Official transcripts 
±Ê°ù´Ç³¦±ð²õ²õ¾±²Ô²µâ€¯T¾±³¾±ð´Ú°ù²¹³¾±ð: 4-6 Weeks
Student Notification:  ·¡³¾²¹¾±±ô &²Ô²ú²õ±è;
Form: Request for Refund
Purpose: Request a refund of enrollment fees after the refund deadline (refer to Important Dates for the term). Reason must be due to extenuating circumstances.   
Location to Submit: Enrollment Services Secured Document Upload . Select Other from the dropdown options. 
Additional Documentation Required: Supporting documentation 
Processing Timeframe: 3-5 business days 
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Form: Student Petition
Purpose: To petition situations that may be considered special circumstances which may warrant further consideration for adjustment or deviation from established procedures and policies of MSJC or to appeal a decision already made.  
Location to Submit: Enrollment Services Secured Document Upload . Select Petition/Appeal from the dropdown options. 
Additional Documentation Required: Supporting documentation 
Processing Timeframe: 5-7 business days 
Student Notification: ·¡³¾²¹¾±±ô &²Ô²ú²õ±è;
Form: Student Records Request (formerly Transcript Request Form)
Purpose: Request Official Transcripts or Enrollment Verification (including agency verification, Common Application, insurance verification, etc.) to be sent to another institution, employer, etc.
Note: Forms provided by outside agencies/institutions/employers need to be submit with the Student Records Request to be completed
Location to Submit: Enrollment Services Secured Document Upload . Select Other from the dropdown options. 
Additional Documentation Required: ±·´Ç²Ô±ð &²Ô²ú²õ±è;
Processing Timeframe: 
- Normal: 5-7 business days 
- Rush: 1-2 business days 
- Hold for Degree or Grade: Approximately 5-7 after posting 
Student Notification: ·¡³¾²¹¾±±ô &²Ô²ú²õ±è;
Form: Student Update Form
Purpose: To make legal changes/corrections to a name, date of birth, social security number, gender or to change or correct a personal email address. All requests will require a legal picture ID, social security card, and may require additional legal documentation.  
Location to Submit: Enrollment Services Secured Document Upload . Select Student Update from the dropdown options. 
Additional Documentation Required: When requested, legal picture ID, social security card, additional legal documentation 
Processing Timeframe: 3-5 business days 
Student Notification: ·¡³¾²¹¾±±ô &²Ô²ú²õ±è;
Form: Supplemental Residency Questionnaire
Purpose: To establish California residency. 
Location to Submit: Enrollment Services Secured Document Upload . Select Residency from the dropdown options. 
Additional Documentation Required: Refer to the Residency portion of the MSJC website for detailed information:
Processing Timeframe: ³Õ²¹°ù¾±±ð²õ &²Ô²ú²õ±è;
Student Notification:  ·¡³¾²¹¾±±ô &²Ô²ú²õ±è;