Forms
AB343 (SIV Holders)
(AB540) Non-Resident Tuition Exemption Request Form
Apply to have your “non-California resident” status reviewed.
AB540 Eligibility Requirements
Academic Renewal Application
Approved applications alleviate substandard grades from GPA.
Appeal for Loss of Priority Registration
Students who have lost priority registration may request to have it reinstated.
Assessment Results Release Form
Students should complete this form if they are requesting their assessment results to be sent to another educational institution.
Associate Degree Application
Apply for Associate in Arts or Associate in Science Degree. Please review application deadlines prior to submitting. Deadline Dates
Bachelor of Science in Respiratory Care
Apply for a Bachelor of Science in Respiratory Care. Applications will only be accepted by students currently enrolled in the Respiratory Care program.
Certificate of Competency/Completion Application
Apply for a Certificate of Completion Application. Please review application deadlines prior to submitting. Deadline Dates
Certificate of Achievement/Skills Recognition Application
Apply for a Certificate of Achievement/Skills Recognition. Please review application deadlines prior to submitting. Deadline Dates
Credit for Prior Learning
This form can only be completed by a currently enrolled student. If you believe you have obtained previous learning outside of college education and would like an opportunity to receive credit for a class, please first visit the Credit for Prior Learning website for more information and eligibility criteria. https://www.mjc.edu/instruction/cpl/
Concurrent Enrollment for Continuing Students (MJC & CC)
Students taking classes at both MJC and Columbia College must complete this form.
Course Registration Form
Students may use this form to add courses during registration.
Course Repeat Petition
Submit this form to retake a course in excess of the allowable limit of to retake a course that you have already passed. Students must demonstrate necessity and submit supporting documentation. Review circumstances and requirements on the Enrollment Services webpage under the Student Petitions drop down.
Discrimination Complaint Form
Document Pick-up Authorization Form
Students may authorize another person to pick-up a document on their behalf. A copy of the students valid ID and a the authorized persons ID are required at the time the document is being picked up.
Drop Form
Students may use this form to drop a class when they are unable to do so through PiratesNet.
Duplicate Diploma/Certificate Request
Request a Duplicate Diploma or Certificate.
Enrollment Verification Request
Verifies your enrollment status for insurance, loan deferment, child care, training verification for employment purposes.
Financial Aid Appeal
If you have been notified that you have been placed on financial aid disqualification, you will need to submit an appeal in order to be considered for financial aid.
Free Transcript Request
Students have two (2) Free Transcripts within their lifetime. Submit this form to request 1 or both of your free transcripts.
GE/IGETC Certification Form
This Certification will show that you have completed some or all of your General Education Requirements. Please note that this should only be requested if you have been admitted to another institution and they have requested a certification to be completed.
General Complaint Form
General Student Petition
Submit this form to request an exception to withdraw from a class after the 75% point. Review circumstances and requirements on the Enrollment Services webpage under the Student Petitions drop down.
Grade Check
Student should bring this form when meeting with a counselor regarding academic/progress dismissal.
Harassment Complaint Form
Health Fee Exemption
Mail Diploma/Certificate Request
Request your diploma/certificate to be mailed to you.
Notice to Deny Disclosure of Directory Information
Complete this form and submit to the Enrollment Services office (East campus) in-person if you would like to block the release of directory information. Photo ID must be presented at time of request.
Pass/No Pass Grading Form
Apply for pass/no pass grading status for a class.
Personal Information Update
Updates your personal information (name, birthdate, social security number).
Prerequisite/Corequisite Challenge Form
Challenge a prerequisite or co-requisite with the Division Office. This form is to be submitted to the Division Office.
Refund Request
Apply for a refund of fees.
Release of Student Information
Student wishes to grant permission to release information to a parent/guardian.
Residency Consideration
Apply to have your “non-California resident” status reviewed.
Special Part-Time Petition for Advanced Admission
Students at least 13 years old planning to attend MJC and high school or junior high concurrently must submit this form to Enrollment Services after completing their admissions application online.
2023-2024 Summer 23, Fall 23, Spring 24
Student Grade Correction Petition
Submit this form to request a formal grade change. Review the circumstances and requirements on our main Enrollment Services webpage under the Student Petitions drop down.
Optional Fee Waiver Form
Request credit for optional Student Activity Fee and/or Representation Fee.
Transfer Work Evaluation Request
Students transferring from other colleges should complete this form if they need a Prerequisite Clearance or Full Evaluation. (See Evaluations webpage for details)