Admissions and Records Forms

The Admissions and Records Office at Jackson State Community College strives to assist students throughout their academic career and beyond through a seamless admissions process, confidential records management, and a memorable graduation experience. We aim to always provide exceptional service to our students and the community.

Electronic Transcript Request

Electronic Transcript Request

Jackson State has authorized the National Student Clearinghouse to send electronic transcripts.

• Electronic transcripts cost $2.50-$3.50 each, payable by debit or credit card. Transcripts are free for currently enrolled students sending transcripts to other Tennessee Board of Regents institutions.
• Once your order is placed, you will receive an order confirmation number via email. To check the status of your order here, enter your order confirmation number and email address used to place the order. Please contact the National Student Clearinghouse if you need help or have questions about your order.
• If you attended Jackson State prior to Fall 1986, you may not have an electronic transcript available and will need to fill out the Records Request Form below.

Paper Transcript and Other Records Request

Records Request Form

If you are requesting a physical transcript to be mailed or faxed, or would like to pick up your records in the Admissions and Records Office, please fill out the Records Request Form.

You can request the following documents via this form:

• Official Jackson State transcript
• Unofficial Jackson State transcript
• Jackson State class schedule
• Jackson State acceptance letter
• Other unofficial records in your student file (transcripts from other schools, immunization records, etc.)

Enrollment Verification

Enrollment Verification Form

Enrollment verification letters generally consist of a typed letter that includes the semester (including dates) and full-time or part-time status. If any additional information needs to be included in the letter, please include it in the top section of the form.

If you need additional forms filled out, please complete our Enrollment Verification Form and attach the necessary form(s). We cannot fill out blank forms, so be sure to fill out all sections other than those that need to be completed by the Admissions and Records Office.

We are only able to verify enrollment for current or past terms, not future terms.

Change of Major

Change of Major Form

If you are changing your major from non-degree seeking to degree seeking, your major will not be changed until we have received official transcripts from all institutions.

Change of Student Information

Change of Student Information Form

This form can be used to change any of the following information:

• Address (required document: state-issued ID or Driver’s License)
• Name (required documents: two forms of identification including Driver’s License, birth certificate, marriage license, or Social Security Card with your updated name)
• Phone number
• Email address
• Social Security Number (required document: signed Social Security Card)

In-State Residency

Residency Application

If you are flagged as out-of-state and wish to receive in-state tuition, you can submit a Residency Application and supporting documentation.

To receive in-state residency status, this application and supporting documentation must be submitted before the last day to register for classes for that term. Incomplete applications or applications received without documentation WILL NOT be reviewed, and out-of-state fees will remain on your account until Tennessee residency has been determined.

Academic Fresh Start

Academic Fresh Start Application

Academic Fresh Start forfeits college credits with an “F” grade from GPA calculation. If your degree program requires a “C” grade or higher, “D” grades will also be forfeited. The courses and grades will remain on your transcript but will be removed from the GPA calculation and degree requirements. All credit hours will be included in attempted credit hour calculations.

COVID Fresh Start Application

Only students that were enrolled from Spring 2020 - Summer 2021 are eligible for COVID Fresh Start. Students enrolled in Fall 2021 are not eligible to apply.

Additional Forms

JSCC Immunization Form

Request to Audit a Course

Request for Prior Learning Assessment (PLA) Credit