Applications & Forms

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Directory of applications and forms on the website.

Admissions

• Chemical Dependency Certificate Application
• Early Admissions Form
• Free Application for Admission
• Fresh Start Application
• International Students Application (use with Free Application)
• Meningitis Form
• Nursing Supplemental Application
• Request Info
• Zoo Technology Application

Advising & Registration

• Additional, Concurrent Matriculation Form
  
• Add/Drop Form
• Application for Degree or Certificate
• Change of Matriculation
• Course Audit Registration Form
  
• Degree Certification Request
• Disability Guidelines and Forms
• Enrollment Certification Request Form
• FERPA Privacy Request 
• Student Agreement Request Form
• Name or Address Change
• Non-Matriculated Student Registration Information
  • Spring 2019
• Payment Authorization Form
• Petition Form
• Registration Form
  
• Replacement Diploma
• Withdrawal Form

Alumni

• Board of Directors “Intent to Vie” Form

Athletics

• Athletic Interest Forms 

Continuing Education

• Workshop Registration
  

Disabilities  - Forms for Documenting a Disability

• Documentation Form for ADHD
• Documentation Form for Learning Disability
• Documentation Form for a Physical Disability
• Documentation Form for a Psychological Disability

Facilities

• Event Request Form - External Organizations
• Event Request Form - Internal

Faculty Student Association (FSA)

• FSA Grant Request Form

Financial Aid

FAFSA Forms

• Free Application for Federal Student Aid (FAFSA)
• How to Create an FSA ID 
• Using the 2017 IRS Date Retrieval Tool for the 2019-20 FAFSA application
• How to Request a Tax Return Transcript or Non-Filing Status Letter
• IRS Mail-In Form 4506-T (to request Tax Return Transcripts, Non-Filing Status Letters and W2's)
• 2019-2020 Aid For Part-Time Study (APTS) Application

Verification Forms (Fall 2019/Spring 2020/Summer 2020)

• 2019-20 Signature Page
• 2019-20 Verification of Marital Status
• 2019-20 Dependent Verification Worksheet
• 2019-20 Independent Verification worksheet
• 2019-20 Low Income Verification Worksheet
• 2019-20 Statement of Educational Purpose/Identity Form
• 2019-20 Statement of Educational Purpose/Identity Form (if being signed by a notary)

Scholarships

• Apply Now For Scholarships!

Loans (Fall 2019/Spring 2020)

• Enhanced Entrance Counseling Instructions
• Exit Loan Counseling Instructions
• 2019-20 Direct Student Loan Application (fall 2019 - spring 2020)
• 2019-20 Student Loan Change Form
• 2019-20 Request for Additional Unsubsidized Stafford Loan due to Parent PLUS Loan Denial
• Documentation of Disability Status

Veterans

• Jefferson VA Application
• VA 22-1990 application or fill out the application online
• VA 22-1995 Change of place/program for Montgomery GI Bill recipients (chapters 30, 1606 & 1607)
• VA 24-0296 Direct deposit enrollment application for Montgomery GI Bill recipients
• VA 22-5490 Education benefits application for dependents of 100% permanently disabled veterans (chapter 35)
• VA 22-5495 Change of place/program for Dependents receiving chapter 35 benefits
• VA 28-1900 Veterans’ application for Vocational Rehabilitation (chapter 31)

Financial Aid Appeals (Fall 2019/Spring 2020/Summer 2020)

• 2019-20 Appeal for Financial Aid Eligibility
• 2019-20 Appeal for Reinstatement of Aid after a one year (or longer) absence
• 2019-20 Application for Special Conditions (fall 2019 - spring 2020)
• 2019-20 Dependency Status Review
• 150% Review Form

Certificate of Residence

• Find your Certificate of Residency form using the dropdown menu below. Once you select your county, you will be leaving Jefferson Community College's website and be taken to a third party site where you can download and/or print the form. Please contact Enrollment Services at (315) 786-2437 or [email protected] if you have any questions.

Other

• Loan and Bookstore Authorization Form
• Consortium Agreement (for students in a JCC Degree program who take classes at another college).

Graduation/Commencement

• Application for Degree or Certificate

Health and Wellness Center

• Immunization Form for JCC Students
• Meningitis Disease and Vaccine Info
• Student Accident Insurance Information Brochure and Claim Form

Honors Program

• Honors Program Application
  
• In-Class Honors Option Registration Form
  

Human Resources/Employment

• Jefferson Employment
• Civil Service Application

Library

• CannonCat - JCC Library Catalog 

Miscellaneous

• Additional, Concurrent Matriculation Form
  
• Comments/Feedback
• Student Insurance Claim Form
• Foil Request Form

Military/Veteran’s

• Student Agreement Request Form

Student Activities

• Club Registration Form
• Social/Cultural Grant Application

Security

• Overnight Permit Form
• Vehicle Registration Form

Search

• Search the Site

Student Records/Transcripts

• Review Unofficial Transcript
• Request for Replacement Diploma
• Transcript Request (Online)