Student Forms

Note:

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Admissions

• Academic Renewal Petition
• Assignment of Incomplete Grade Form
• Course Exception Form
• Credit By Advanced Standing Form
• Domicile Determination Form (Application for VA In-State Tuition)
• Enrollment Request Form
• Information Change Form
• Request for In-State Tuition/Fee Rates 2024-2025

Health Sciences Forms

• Clinical Research Coordinator Application
• Dental Assistant Program Application
• Health Information Management Application
• Health Information Technology Analyst Application
• Health Sciences Informational Deadlines
• LPN Admission Application
• Nursing Application – Track 1: Two Year Curriculum
• Nursing Application – Track 2: Advanced Placement Option for LPN Transition
• Nursing Application – Track 3: Part-Time Evening & Weekend Curriculum
• Nursing Application – Track 4: Part-Time Evening & Weekend Advanced Placement Option for LPN Transition
• Paramedic and EMT Advanced Program Application
• Pharmacy Technician Program Application
• Phlebotomy Application
• Respiratory Therapy Admission Application

Disability Intake Form

• Office of Disabilities Intake Form

 Dual Enrollment

• Dual Enrollment Parent Authorization Form 24-25
• High School Official’s Permission to Enroll
• High School Official’s Permission to Drop
• Application for VA In-State Tuition

Filled Class Interest

• Filled Class Interest Form

Financial Aid 2023 – 2024 Forms (For Summer 2023, Fall 2023, and Spring 2024)

• Dependent Assent Information Form
• Dependent Household Size Verification
• Dependent Number in College Verification
• High School Completion Status Verification
• Identity and Educational Purpose Verification
• Identity and Educational Purpose Verification – Notary Required
• Reconsideration Form

Financial Aid 2024 – 2025 Forms (For Fall 2024, Spring 2025, and Summer 2025)

• Dependent Assent Information Form
• Dependent Household Size Verification
• High School Completion Status Verification
• Identity and Educational Purpose Verification
• Identity and Educational Purpose Verification – Notary Required
• Parent(s) 2022 Income Tax Return Filing Status Verification
• Reconsideration Form

Graduation Application 

• Spring/Summer Graduation Application

Safety & Security

• Incident Report Form
• Report an Unsafe Condition

Senior Citizens

• Senior Citizens Tuition Waiver

Transcript Request

• Mountain Empire Community College Transcript Request

Water/Wastewater Program 

• Water/Wastewater Program Form

Work Study

• Work Study Interest Form
• Work Study Handbook