Skip to Main Content
Roane State Community CollegeRoane State Community College

Roane State Community College

Reconnect. Free tuition for adults. Get started now. See RequirementsFree tuition for adults. Get started now. See Requirements
Records and Registration
RSCC Home>
Records and Registration Forms

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.

Adobe Acrobat Reader required to view these files. Click here to download.

Application for Fresh Start

Application for Transfer Credit

Change of Address

Change of Major/Status

Course Repeat Form

Credit-By-Proficiency Form

Deferment/Enrollment Verification Request

Immunization Health History Form

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

Connect with us

© 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.

Tennessee's Community Colleges Tennessee Board of Regents / Tennessee Transfer Pathways TN eCampus

Report Fraud, Waste and Abuse

Digital Millennium Copyright Act of 1998