Forms

ALL CORRESPONDENCE IS THROUGH YOUR MJC STUDENT EMAIL.  BE SURE TO ACTIVATE YOUR STUDENT EMAIL ACCOUNT. Photo identification is required for ALL transactions.

CLICK HERE for instructions on how to create an electronic signature.

 

(AB540) Non-Resident Tuition Exemption Request Form Apply to have your “non-California resident” status reviewed.
Academic Renewal Application Approved applications alleviate substandard grades from GPA.
Appeal for Loss of Priority Registration Students who have lost priority registration may request to have it reinstated.
Assessment Results Release Form Students should complete this form if they are requesting their assessment results to be sent to another educational institution.
Associate Degree Application Apply for Associate in Arts or Associate in Science Degree.
Certificate of Completion Application Apply for a Certificate of Completion Application.
Certificate of Achievement/Skills Recognition Application Apply for a Certificate of Achievement/Skills Recognition.
Concurrent Enrollment for Continuing Students (MJC & CC) Students taking classes at both MJC and Columbia College must complete this form.
Course Registration Form Students may use this form to add courses during registration.
 
Document Pick Up Authorization Authorize another person to pick up your award, official transcript or enrollment verification.
Drop Form Students may use this form to drop a class when they are unable to do so through PiratesNet.
Duplicate Diploma/Certificate Request  Request a Duplicate Diploma or Certificate.
Enrollment Verification Request Verifies your enrollment status for insurance, loan deferment, child care, training verification or employment purposes.
Financial Aid Appeal If you have been notified that you have been placed on financial aid disqualification, you will need to submit an appeal in order to be considered for financial aid.

GE/IGETC Certification Form

This Certification will show that you have completed some or all of your General Education Requirements. Please note that this should only be requested if you have been admitted to another institution and they have requested a certification to be completed.
General Complaint Form  
Grade Check Student should bring this form when meeting with a counselor regarding academic/progress dismissal.
 
Health Fee Exemption  
Mail Diploma/Certificate Request Request your diploma/certificate to be mailed to you.
Notice to Deny Disclosure of Directory Information Complete this form and submit to the Enrollment Services office (East campus) in-person if you would like to block the release of directory information.  Photo ID must be presented at time of request.
Pass/No Pass Grading Form Apply for pass/no pass grading status for a class.
Personal Information Update Updates your personal information (name, birthdate, social security number, email). To update your mailing address visit PiratesNet.
Prerequisite/Corequisite Challenge Form Challenge a prerequisite or co-requisite with the Division Office. This form is to be submitted to the Division Office.
Refund Request Apply for a refund of fees.
Release of Student Information Student wishes to grant permission to release information to a parent/guardian.
Residency Consideration Apply to have your “non-California resident” status reviewed.
Special Part-Time Petition for Advanced Admission Students at least 13 years old planning to attend MJC and high school or junior high concurrently must submit this form to Enrollment Services after completing their admissions application online.
Student Activity Fee Waiver (Optional ASMJC) Request credit for optional Student Activity Fee.
Student Petitions Click here to view our website that explains our petition process and has links to petition forms.
Student Representation Fee Refusal Request refund for $2 Student Rep Fee.
Transfer Work Evaluation Request Students transferring from other colleges should complete this form if they need a Prerequisite Clearance or Full Evaluation. (See Evaluations webpage for details)