ALL CORRESPONDENCE IS THROUGH YOUR MJC STUDENT EMAIL.  BE SURE TO ACTIVATE YOUR STUDENT EMAIL ACCOUNT.

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

(Please be sure to have your MJC Student ID "w" number on each form you submit.  If you misplaced or forgot your "w" number and need to locate it, go to PiratesNet and click on "What is my user ID?")

(AB540) Non-Resident Tuition Exemption Request Form – Apply to have your “non-California resident” status reviewed. If you have attended 3 years AND graduated from a California high school, or, if you have attended 3 years AND received a GED, from a California high school.

Academic Renewal Application - Approved applications alleviate substandard grades from GPA.  Emailed forms must be signed & submitted with your MJC student email, otherwise they will NOT BE PROCESSED.  Forms emailed in a picture format cannot be processed.

Addendum to AB540 - If you are an eligible DACA or Undocumented Graduating High School Senior and will be eligible for AB540 once you graduate high school (prior to the start of next term), complete this form and submit to the Enrollment Services Office along with your AB540 Non-Resident Tuition Exemption Request Form.

Appeal for Loss of Priority Registration - Students who have lost priority registration may request to have it reinstated.  Emailed forms must be signed & submitted with your MJC student email, otherwise they will NOT BE PROCESSED.  Forms emailed in a picture format cannot be processed.  This form is due by the college established deadline for each term.

Assessment Results Release Form - Students should complete this form if they are requesting their assessment results to be sent to another educational institution. Emailed forms must be signed & submitted with your MJC student email, otherwise they will NOT BE PROCESSED.

Associate Degree Application - Apply for Associate in Arts or Associate in Science Degree.  Emailed forms must be signed & submitted with your MJC student email, otherwise they will NOT BE PROCESSED.  Forms emailed in a picture format cannot be processed.

BOG Fee Waiver 18/19 Request Form - Apply to request a fee waiver for the 2018-2019 academic year.

Certificate of Achievement/Skills Recognition Application - Apply for a Certificate of Achievement or Skills Recognition Award.  Emailed forms must be signed & submitted with your MJC student email, otherwise they will NOT BE PROCESSED.  Forms emailed in a picture format cannot be processed.

Concurrent Enrollment for Continuing Students (MJC & Columbia) - Students taking classes at both MJC and Columbia College must complete this form.

Discrimination Complaint Form

Duplicate Diploma/Certificate Request - Misplace your diploma or certificate?  Order a duplicate!

Enrollment Verification Request - Verifies your enrollment status for insurance, loan deferment, child care, training verification or employment purposes. Forms emailed in a picture format cannot be processed.

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.

General Complaint Form

Grade Check - Student should bring this form when meeting with a counselor regarding academic/progress dismissal.

Grade Improvement Form - Students who have earned a “D”, “F”, or “NP” have the opportunity to repeat the course once. When a course in which a “D” grade was received is repeated, the student will receive the new grade and grade points earned, but will receive no additional units for the course. When a course in which an “F” or “NP” grade was received is repeated, the student will be given both the units and grade points earned. Courses in which the student has earned a “C” or better (including “P”) may not be repeated for improvement of grade.

Harassment Complaint Form

Mail Diploma/Certificate Request - Request your diploma/certificate to be mailed to you.

Multiple Measures (English) - Students should complete this form with required documentation to be placed in an English course at MJC. Students will be notified of the results through their MJC Student Email or through Pirates Net.

Multiple Measure Math Placement Tool - Students can now be placed in math classes using high school transcripts. Complete this form with required documentation, students will be notified of the results through their MJC student email or through Pirates Net.

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.  Photo ID is required to have a pass/no pass processed.  Emailed forms must be signed & submitted with your MJC student email, otherwise they will NOT BE PROCESSED.  Forms emailed in a picture format cannot be processed.

Personal Information Update - Updates your personal information (name, birthdate, social security number, email).

Refund Request - Apply for a refund of fees.

Release of Student Information - Student wishes to grant permission to release information to a parent/guardian.  Releases expire exactly one year from the date signed and may be rescinded by the student at any time.

Residency Consideration – Apply to have your “non-California resident” status reviewed.  Additional documents may be required.  Complete the front and back of the form and submit in-person to Enrollment Services. This form is due by the college established deadline for each semester.

Special Part-Time Petition for Advanced Admission - Students at least 14 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. Forms emailed in a picture format cannot be processed.

Student Benefit Fee Waiver (Optional ASMJC)- Request credit for optional Student Benefit Fee.

Student Petitions - Click here to view our new website that explains our petition process and has links to petition forms.

Student Representation Fee Refusal - Request refund for $1 Student Rep Fee.

Transcript Request  - This form can only be used for your two FREE lifetime transcript requests. Emailed forms must be signed & submitted with your MJC student email, otherwise they will NOT BE PROCESSED. Forms emailed in picture format cannot be processed.  If you have used your two FREE lifetime requests or would like to order transcripts by rush or express go online to National Student Clearinghouse www.nationalstudentclearinghouse.org for faster service.