Forms & Documents

INStructions to submit forms online:

Most forms are available in an online format. View the list of forms below and click on the link to the submission page. Be sure to select the appropriate form when submitting it to the college and follow any additional directions associated with the form. (Questions marked with a * indicate that question is required.)

Forms with the pdf symbol require you to download and submit the attached form. To view/submit these forms, you must use Adobe Reader; you can download it for free from the Adobe website.
If necessary, gather all documentation required to submit the form (e.g. transcripts, catalog description, documentation, etc.). When asked, "Are you providing any attachments?" click "Yes" and drag/drop the forms in the Attachment box as shown below:
Click "Send" at the end of the form. If you are missing any required fields, the form will notify you. You will receive an email confirmation once your form has been submitted.

Forms that can be submitted online:

Admissions Forms
Counseling/Evaluations & Graduation Forms
Student Petitions
Military/Veterans Forms
Financial Aid Forms

Form	Form	Office	Purpose	Form

Admissions Forms

AB-540 Non-Resident Tuition Exemption
Change of High School Grad Status
Code Out W (10+ Years)
Direct Deposit Cancellation Request Form
Must be submitted by 12:00pm Thursday to take effect on Friday's Financial Aid Disbursement
Consent to Release Student Records
Merge Duplicate Accounts
Social Security Number Acknowledgment Form
Student Personal Information Update (Name, SSN, DOB, Gender Marker Changes)
Third Party Verification
Registration Worksheet
Transcript Request

High School Students - Special Part-Time/Joint Diploma Admission Form

Submit Form Online

Student Petitions

Grade Challenge Petition
Petition for Excused Withdrawal (Online)
Petition to Challenge
For challenging a prerequisite based on specific criteria (Knowledge/skill, health and safety, undue hardship, discrimination)
Student Petition
Used for:
- Late Adds
- Code Out W (10+ Years)
- Withdrawals
- Drops with Refund
- Late Drops
- Exception to Course Repetition Policy (City/Miramar Only)
Petition for Exception to Course Repetition Policy - Student Petition (City and Miramar Only)
- To complete a petition for exception to course repetition for courses at Mesa College, you must meet with Counseling to acquire the form and required documents.
Petition for Appeal of Enrollment Priority and/or Loss of CCPG
Petition for Reinstatement After Disqualification (3rd Disqualification)

Instructions for readmission to academic program petitions

Petition for Readmission to Academic Program (Student Petition)
This process is currently only available for Dental Assistant, Physical Therapist Assistant, Phlebotomy, Health Information Technology, Health Information Management, Radiologic Technology, Medical Assistant, and Veterinary Technology programs.

Step 1: Before completing the readmission forms, student must meet with the Program Director of the program for which the student is requesting readmission. Once they have met, the Program Director will provide the student with specific instructions including uploading their petition, specific date deadlines, and which semester their petition will be reviewed by the Allied Health Readmission Committee.

Step 2: The student will download the student petition and select "Other”, and indicate which academic program for which they are requesting readmission.

Step 3: Upload the email letter from your Program Director

Step 4: Upload your action plan

Process after form submission:

Step 1: Program Director verifies completeness of submission.

Step 2: Allied Health Readmission Committee will review submission once per semester, November and April.

Step 3: Student has the right to address the committee at the time their petition is being reviewed.

Step 4: After Allied Health Review Committee decision, the Department Chair will notify student of committee decision by email letter with next steps.

Submit Form Online