Applications & Forms
Directory of applications and forms on the website.
Admissions
- Chemical Dependency Certificate Application
- Early Admissions Form
- Free Application for Admission
- Fresh Start Application
- International Students Application (use with Free Application)
- Meningitis Form
- Nursing Supplemental Application
- Request Info
- Zoo Technology Application
Advising & Registration
- Additional, Concurrent Matriculation Form
- Add/Drop Form
- Application for Degree or Certificate
- Change of Matriculation
- Course Audit Form
- Degree Certification Request
- Disability Guidelines and Forms
- Enrollment Certification Request Form
- FERPA Privacy Request
- Student Agreement Request Form
- Name or Address Change
- Non-Degree Seeking Student Registration Form
- Pass/Fail Option Registration
- Payment Authorization Form
- Petition Form
- Replacement Diploma
- Withdrawal Form
Alumni
Athletics
Continuing Education
Disabilities - Forms for Documenting a Disability
- Documentation Form for ADHD
- Documentation Form for Learning Disability
- Documentation Form for a Physical Disability
- Documentation Form for a Psychological Disability
Facilities
Faculty Student Association (FSA)
Financial Aid
FAFSA Forms
- Free Application for Federal Student Aid (FAFSA)
- How to Create an FSA ID
- IRS Request for Tax Transcript or Verification of Non-Filing
- 2022-23 Aid for Part Time Study (APTS)
Verification Forms (Fall 2023/Spring 2024/Summer 2024)
- 2023-24 Direct Student Loan Application
- 2023-24 Student Loan Change Form
- 2023-24 Request for Additional Unsubsidized Stafford Loan due to Parent PLUS Denial Form
- 2024 Summer Student Loan Application
Verification Forms (Fall 2022/Spring 2023/Summer 2023)
- 2022-23 Signature Page
- 2022-23 Dependent Verification Worksheet
- 2022-23 Independent Verification Worksheet
- 2022-23 Statement of Educational Purpose - Notary
Verification Forms (Fall 2023/Spring 2024/Summer 2024)
- 2023-24 Signature Page
- 2023-24 Dependent Verification Worksheet
- 2023-24 Independent Verification Worksheet
- 2023-24 Statement of Educational Purpose - Notary
Loans (Fall 2022/Spring 2023/Summer 2023)
- 2022-23 Direct Student Loan Application
- 2022-23 Student Loan Change Form
- 2022-23 Request for Additional Unsubsidized Stafford Loan due to Parent PLUS Denial Form
- 2023 Summer Student Loan Application
Financial Aid Appeals (Fall 2022/Spring 2023/Summer 2023)
- 2022-23 Appeal for Financial Aid
- 2022-23 Appeal for Reinstatement Form
- 2022-23 Application for Special Conditions
- 2022-23 Dependency Status Review
- 2022-23 Dependency Override
- 150% Review Form
Financial Aid Appeals (Fall 2023/Spring 2024/Summer 2024)
- 2023-24 Appeal for Financial Aid
- 2023-24 Appeal for Reinstatement Form
- 2023-24 Application for Special Conditions
- 2023-24 Dependency Status Review
- 2023-24 Dependency Override
- 150% Review Form
Scholarships
Additional Loan Information/Forms
- Computer Request Form
- Enhanced Entrance Counseling Instructions
- Exit Loan Counseling Instructions
- Documentation of Disability Status
Veterans
- Jefferson VA Application
- VA 22-1990 application or fill out the application online
- VA 22-1995 Change of place/program for Montgomery GI Bill® recipients (chapters 30, 1606 & 1607)
- VA 24-0296 Direct deposit enrollment application for Montgomery GI Bill® recipients
- VA 22-5490 Education benefits application for dependents of 100% permanently disabled veterans (chapter 35)
- VA 22-5495 Change of place/program for Dependents receiving chapter 35 benefits
- VA 28-1900 Veterans’ application for Vocational Rehabilitation (chapter 31)
Certificate of Residence
- Find your Certificate of Residency form using the dropdown menu below. Once you select your county, you will be leaving Jefferson Community College's website and be taken to a third party site where you can download and/or print the form. Please contact Enrollment Services at (315) 786-2437 or financialservices@sunyjefferson.edu if you have any questions.
Albany County Allegany County Broome County Cattaraugus County Cayuga County Chautauqua County Chemung County Chenango County Clinton County Cortland County Delaware County Dutchess County Erie County Essex County Franklin County Genesse County Greene County Jefferson County Kings County (Brooklyn) Lewis County Livingston County Madison County Monroe County Montgomery County Nassau County New York City Niagara County Oneida County Onondaga County Ontario County Orange County Oswego County Otsego County Putnam County Queens County Rensselaer County Richmond County Rockland County Saratoga County Schenectady County Schoharie County Seneca County St. Lawrence County Steuben County Suffolk County Sullivan County Tioga County Tompkins County Ulster County Warren County Washington County Wayne County Westchester County Wyoming County Yates County
Other
- Loan and Bookstore Authorization Form
- Consortium Agreement (for students in a JCC Degree program who take classes at another college).
Graduation/Commencement
Health and Wellness Center
- COVID-19 Medical Exemption Form
- COVID-19 Religious Exemption Form
- Immunization Form for JCC Students
- Meningitis Disease and Vaccine Info
- Student Accident Insurance Information Brochure and Claim Form
Honors Program
Human Resources/Employment
Library
Miscellaneous
- Additional, Concurrent Matriculation Form
- Comments/Feedback
- Student Insurance Claim Form
- Foil Request Form
Military/Veteran’s
Residence Life and Housing
- Resident Assistant (RA) Application
- Resident Assistant (RA) Job Description
- Student Housing Application
- Printable Student Housing Application
Student Activities
Security
Search
Student Records/Transcripts