OFFICE OF THE REGISTRAR AND RECORDS
Forms and Resources
Registrar forms for graduate, undergraduate, and faculty needs — degree conferral, withdrawals, course substitutions, grade contracts, and more.
Office of the Registrar and Records
Forms and resources
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Graduate and Undergraduate Forms
Catalog Change FormFORM
Duplicate Diploma OrderFORM
Enrollment VerificationFORM
Change of Biographical InformationFORM
Change of NameFORM
FERPA Annual NoticePDF
Request for Incomplete Grade FormPDF
Student Petition to Reinstate Class Schedule for Non-AttendanceFORM
Undergraduate / Graduate Student Course Substitution RequestFORM
Undergraduate / Graduate Student Course Substitution Request (Sample)PDF
Transcript Request FormFORM
Graduate Forms
Graduate (GR) Application for Degree ConferralFORM
Graduate WithdrawalFORM
Graduate Student Course Substitution RequestFORM
Graduate Student Course Substitution Request (Sample)PDF
Undergraduate Forms
Academic New StartPDF
Academic Second ChancePDF
Application for Double MajorPDF
Application for Dual DegreePDF
Change of NamePDF
Change of Permanent AddressFORM
Declaration of Undergraduate MinorFORM
Mississippi In-State Residency Status Change ApplicationFORM
Petition for Academic ReinstatementPDF
Petition for Retroactive WithdrawalPDF
Request to Remove an Undergraduate Minor, Concentration, Certificate, or Second MajorFORM
Undergraduate (UG) Application for Degree ConferralFORM
Undergraduate (UG) Credit Overload RequestFORM
Undergraduate WithdrawalFORM
Undergraduate Student Course Substitution RequestFORM
Undergraduate Student Course Substitution Request (Sample)PDF
Faculty Forms
Get in Touch
Office of the Registrar and Records
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Location
Benjamin F. Roberts Building, 2nd Floor
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Mailing Address
Jackson State University
Office of the Registrar and Records
1400 John R. Lynch Street
P.O. Box 17125
Jackson, MS 39217
Office of the Registrar and Records
1400 John R. Lynch Street
P.O. Box 17125
Jackson, MS 39217
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Fax
601.203.5001