Admissions/Records Forms

​Not sure which form you need? Contact admissions@shastacollege.edu or (530) 242-7650.

Commonly Used Admissions/Records Forms

For successful electronic submission of the forms below follow these steps:

  1. Download the form to your computer
  2. Open that form using Adobe
  3. Complete the form and provide electronic signature
  4. Save the form again after you have completed it. 
  5. E-mail to admissions@shastacollege.edu

Tip: Learn how to sign a form using an iPhone or Android device

Submission Instructions

Please note all offices are currently closed. Please submit forms via email to admissions@shastacollege.edu or through mail.

Download Forms

Appeals and Wa​ivers  
Loss of CCPG Appeal Form Complete this form if you have lost eligibility for the California College Promise Grant due to extenuating​ circumstances.
Matriculation Exemption Form Complete this form if you should be exempt from Assessment, Orientation And/or Educational Plan requirements
Pass/No Pass Form​ Complete this form if you would like to declare a pass/no pass for your course(s). Please note only certain courses are eligible.
Excused Withdrawal Extenuating Circumstances Petition Complete this form if you have ​experienced circumstances beyond your control which caused a need for you withdraw from your courses and you would like your permanent records changed.
​Degree and Certificate Forms​  
Degree and Certificate Application​​ Complete this form if you will be graduating within the next 1-2 semesters.
​Replacement Diploma/Certificate Request ​ Complete this form if you have already received your degree or certificate and you need a replacement​​
Transcript Evaluation Form Complete this form if you have transcripts from other colleges.

To learn more about the Degree/Certificate evaluation step by step process, please visit www.shastacollege.edu/applyfordegree​

Enrollment Forms​​  
Change of Information/Major Form Complete this form if you  need to update your contact information or declared major
Registration Form​ Complete this form to add/drop courses.
Concurrent Enrollment Permission Request​​ This is required for all High School students wishing to take courses at Shasta College.
Residency Forms  
​​Student Financial Independent Status Questionnaire​ Complete this form if you are an adult student seeking in-state tuition and your parents are not Californi​a residents
A​B540 Exemption Request - English​ Complete this form to request exemption from nonresident tuition. See form for eligibility requirements.
Seasonal Agriculture Employment Verification​ Complete this form if you or parent earn a livelihood by performing agricultural labor in California​.
Seasonal Agriculture Employment Verification - Espanol Complete this form if you or parent earn a livelihood by performing agricultural labor in California.
​​​Verification Requests  
Grade Verification for Registration​ Complete this form if you wish to retake a course you will not pass.
Verification of Student Records​ Complete this form if you need a one time verification of your records sent to a third party.
Homeless Youth Certification Request Complete this form if you are less than 25 and do not have regular and adequate nighttime residence.
Release of Information ​Complete this form to allow another person or party have access to your records indefinitely​.
​Revoke Release of Information​ Complete this form if you wish to revoke previously granted access to your student records.