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Registrar’s Office Jefferson College of Health Sciences
915 S. Jefferson Street (one story building directly across from Reid Center)
Roanoke, VA 24016
Phone: (540) 224-4492
FAX: (540) 224-4562
Hours: 8:00 A.M. to 4:30 PM, M-F
Linda C. Williams, Registrar
Marlene Perrott, Assistant Registrar
Lanai Hartman, Department Secretary |
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Transcript Request Form
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| Please use this form to request your official JCHS transcripts from the Registrar's office. Please allow 3-5 business days for your transcripts to be mailed or picked up. |
| • Request Transcripts from JCHS Form (.doc) |
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Information Release Form (Please use the Transcript Request Form above for all transcript requests)
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| Any student wishing to have his academic or financial information released to any third parties must sign a Student Permission to Release Information form available in the Registrar’s office or below. The completed form must be submitted to the Registrar’s Office. |
| • Student Permission to Release Information Form (.doc) |
| • Student Permission to Release Information Form (.pdf) |
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Registration Form
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| To register for classes, you must meet with your academic advisor and complete the Registration Form. These forms are available from the Registrar’s Office, from the advisor, or download one below. |
| • Registration Worksheet |
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Add/Drop Form
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Dropping or adding courses must be completed in accordance with the designated time periods as published in the Academic Calendar. An official Add/Drop Form must be signed by the student and by the student’s academic advisor. Forms are available in the Registrar’s Office.
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Change of Major Request Form
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| Currently enrolled students who are requesting a change of major must first submit the Change of Major Request Form to the department they are exiting. After the exiting Program Director signs the form, the student must submit it to the Program Director of the desired program of entry. The student's file will be reviewed in a timely manner and a decision letter will be mailed to the student. Forms are available from department secretaries or can be downloaded here. |
| • Change of Major Form (.pdf) |
| • Change of Major Form (.doc) |
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Independent Study Contract Form
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| Independent Study courses may be offered by certain departments to permit the student to independently investigate specific courses or areas of interest. The Independent Study Course Contract Form is available in the Registrar’s office or from this site and must be signed by the student, instructor, the program director, and by the Dean of Academic and Student Services. Formal approval for any independent study course must be granted by the end of the “Add” period of the semester in which the course is taken. |
| • Independent Study Form (.pdf) |
| • Independent Study Form (.doc) |
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Name/Address Change Form
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| Currently enrolled students and alumni should remember to update the college with all name/address/phone number changes. Such changes should be submitted to the Registrar on the Address Change Form available through that department or below. |
| • Personal Information Changes Form (.pdf) |
| • Personal Information Changes Form (.doc) |
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Application for Graduation
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| It is the student’s responsibility to submit an Application for Graduation two academic sessions prior to the session in which the student expects to complete curriculum and college requirements for graduation. A copy of the form is available in the Registrar’s Office or can be downloaded from this site. |
| • Application for Graduation (.doc) |
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Senior Exit Form
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The Senior Exit Form verifies that the student has met all academic requirements and financial obligations to the college before graduation. The form can be downloaded here or can be found in the Registrar’s Office.
Beginning two weeks prior to Commencement, any senior planning to graduate must submit a completed Senior Exit Form to the Registrar after obtaining all required signatures as listed on the form. The deadline to submit the form to the Registrar is the last official day of classes prior to graduation. |
| • Senior Exit Form (.pdf) |
| • Senior Exit Form (.doc) |
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Diploma Replacement Request Form
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| A replacement diploma may be ordered by submitting the Diploma Replacement Form to the Registrar’s Office. The form is available from the Registrar’s Office or can be downloaded from this site. The charge is $60.00 payable to Jefferson College of Health Sciences is due upon ordering. The turn-around time is approximately 6-8 weeks. |
| • Diploma Replacement Form (.pdf) |
| • Diploma Replacement Form (.doc) |
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Request for Administrative Withdrawal
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Guidelines for Administrative Withdrawals policy was changed, effective Spring 2005: After the final drop date ( the last date to drop with a “W”) a student may request an administrative withdrawal by following the procedures below:
Student must submit a request for administrative withdrawal in writing to the Dean for Academic and Student Services. The request must be placed on an official form provided by the Dean’s Office. The form may be supplemented by additional documentation.
The request must:
- identify circumstances beyond the student’s control that have occurred after the final drop date (date must be specified) and prevent successful completion of the course. If such circumstances occurred prior to the final drop date, the request must also document the extenuating circumstances leading to a failure to drop the course before the final drop date. Lack of awareness of the final drop date is not considered an extenuating circumstance.
- include documentation verifying all extenuating circumstances.
- indicate the last day of class attendance or online activity in a distance course.
- be accompanied by a letter/e-mail from instructors of all courses involved in the request indicating their recommendation regarding the request.
The Dean will respond within five business days of receipt of the student’s letter and written recommendation from all involved instructors. A written copy of this decision will be sent to the student with copies to the registrar, course instructors and advisor. The decision of the Dean is final. |
| • Request for Administrative Withdrawal (.doc) |
| • Request for Administrative Withdrawal (.pdf) |
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Registration Override Request Form for the Registrar’s Office
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- An override request from a student should first be reviewed by the student advisor.
- If the advisor believes the request is warranted he should complete and sign this request form then submit it to the program director for approval and signature.
- The form containing both advisor’s and program director’s signatures should be submitted to the registrar to process.
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| • Registration Override Request Form for the Registrar’s Office (.doc) |
