Records and Registration Forms

Print a form, fill it out and fax or mail it to the Admissions & Records Office, or take it to your nearest Roane State campus. 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

Change of Address

Change of Major/Status

Course Repeat Form

Credit-By-Proficiency Form

Credit-By-Challenge Exam Form

Deferment/Enrollment Verification Request

Immunization Health History Form

In-State Residency Classification

Late Withdrawal Form

Name Change Form

Petition for Course Equivalency Form

Privacy Request Form

Records Disclosure Form - Please use the Parent & Family Portal

Replacement Diploma Request

Registration Worksheet

Roane State Community College does not discriminate on the basis of race, color, religion, creed, ethnicity or national origin, sex, disability, age, status as protected veteran or any other class protected by Federal or State laws and regulation and by Tennessee board of Regents policies with respect to employment, programs, and activities. View full non-discrimination policy.

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