Jefferson College of Health Sciences

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	Topics on This Page
	•	Forms Repository
	•	Word (.doc) Versions
	•	Adobe Acrobat (.pdf) Versions

	Related Pages
	•	General Information
	•	Meet JCHS President Dr. Nathaniel L. Bishop
	•	Degree Programs at JCHS
	•	History
	•	Faculty and Staff Directory
	•	JCHS Mascot Information
	•	Maps and Directions

Forms Repository

Click on the links below to download documents.

Word (.doc) Versions

This list contains all Microsoft Word documents on this site that faculty might find useful.

• JCHS Library Equipment Reservation Form (.doc)

• Employee Exit Form (.doc)

• Student Permission to Release Information Form (.doc)

• Authorization for Release of Information from Student Health Records (.doc)

• Faculty Credentialing Form (.doc)

• Student Exit Form (.doc)

• ISLOC Cover Sheet (.doc)

• Transcript Request Form (.doc)

• Letter of Recommendation Authorization Form (.doc)

• Dual Major Application Form (Word)

• Second Degree Application Form (Word)

• Proctor Request Form for Make-Up Tests (.doc)

• Graduate Program Application (.doc)

• Report Request Process and Form (.doc)

• Request for a New Academic Course Form 97-3b (.doc)

• Declaration of a Minor Form (.doc)

• Registration Override Request Form for the Registrar's Office (.doc)

• Change of Major Form (.doc)

• Curriculum Committee New or Change Form Checklist 97-6a (.doc)

• Diploma Replacement Form (.doc)

• Direct Deposit Authorization Form (.doc)

• Graduate Recommendation Form (.doc)

• Graduate Transcript Request Form (.doc)

• Independent Study Form (.doc)

• Interlibrary Loan Form (.doc)

• Journal Evaluation/Cancellation Form (.doc)

• Journal Subscription Form (.doc)

• Media Request Form (.doc)

• Parish Nursing Application (.doc)

• Parish Nursing Reference Request (.doc)

• Personal Information Changes Form (.doc)

• Reserve Materials Request Form (.doc)

• Transcript Request Letter (.doc)

Adobe Acrobat (.pdf) Versions

This list contains all .pdf forms currently on the web that may be useful to faculty members.

• Graduate Program Application (.pdf)

• Student Permission to Release Information Form (.pdf)

• Employee Exit Form (.pdf)

• Student Exit Form (.pdf)

• Request for Administrative Withdrawal (.pdf)

• JCHS Library Equipment Reservation Form (.pdf)

• Faculty Credentialing Form (.pdf)

• On Campus Testing Policy (.pdf)

• Proctor Request Form for Make-Up Tests (.pdf)

• Graduate Transcript Request Form (.pdf)

• Graduate Recommendation Form (.pdf)

• Student Technology Use Policy (.pdf)

• Diploma Replacement Form (.pdf)

• Direct Deposit Authorization Form (.pdf)

• Independent Study Form (.pdf)

• Interlibrary Loan Form (.pdf)

• Journal Evaluation/Cancellation Form (.pdf)

• Journal Subscription Form (.pdf)

• Media Request Form (.pdf)

• Personal Information Changes Form (.pdf)

• Reserve Materials Request Form (.pdf)

• Student Rights and Responsibilities (.pdf)

• Transcript Request Letter (.pdf)

• Transfer Student Transcript Request Form (.doc)

Jefferson College of
Health Sciences
101 Elm Ave., SE
Roanoke, VA 24013
webmaster@jchs.edu
1-888-985-8483

Friday, May 24, 2013