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Roane State Community College

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Records and Registration Forms

Records and Registration Forms

Print a form, fill it out and fax, mail or stop by the Records office. If you fax it, please call us to be sure we received it.

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Application for Fresh Start

Application for Transfer Credit

Certificate of Immunization

Change of Address

Change of Major/Status

Course Repeat Form

Credit-By-Proficiency Form

Deferment/Enrollment Verification

Hepatitis B Immunization Health History

In-State Residency Classification

Intent to Graduate Form - This form is now avaliable in RaiderNet

Late Withdrawal Form

Name Change Form

Petition for Course Equivalency Form

Privacy Request Form

Records Disclosure Form

Replacement Diploma Request

Registration Worksheet

Transcript Release

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© Roane State Community College

Roane State Community College is a TBR and AA/EEO employer and does not discriminate against students, employees, or applicants for admission or employment on the basis of race, color, religion, creed, national origin, sex, sexual orientation, gender identity/expression, disability, age, status as a protected veteran, genetic information, or any other legally protected class with respect to all employment, programs and activities sponsored by Roane State. View full non-discrimination policy.

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