Forms

Form Name Description Academic Year Revision Date Department
Academic Advisement Report For students on Academic Warning for Advisor signature 5/10 R&R
Address and Phone Change: Update in MyPack Portal > Student Self Service > Campus Personal Info Students can change their address or telephone number in MyPack Portal. Contact Registration and Records for assistance. 6/10 R&R
Advanced Placement (AP) Credit Request Request for contingent AP credit 1/16 R&R
Advanced Standing Certificate Used only for Agricultural Institute students or for courses transferred from international institutions. ASC’s must be accompanied by the transcript. AGI ASC’s are sent to Registration & Records (Box 7313). ACS’s for credit from an international institution are sent to Undergraduate Admissions (Box 7103). 1/16 R&R
Audit Request May be used to add a course as Audit or change a course from Credit to Audit before the drop deadline R&R
CODA Requirements Change Form May be used by departments to initiate a change to their CODA (Internal Transfer) requirements R&R
Cooperating Raleigh Colleges Registration Registration form for CRC classes R&R
Course Agreement for Non-Standard Courses Faculty and Student agreement for undergraduate enrollment in a Non-Standard course 3/15 R&R
Course Load Waiver Override maximum semester registration course load 5/05 R&R
Course Repeat Students wishing to repeat a course in excess of the maximum allowed attempts should obtain a Schedule Revision Form from the department offering the class and bring it to Registration and Records in 1000 Harris Hall for processing. R&R
Course Substitution Substitute one course for another to fill a requirement 5/16 R&R
Curriculum Change (See “Plan/Subplan”) Change curriculum within a college or change college & curriculum R&R
Declare Minor Application for a minor to be added to students record 5/16 R&R
Declare a Certificate Application for a certificate program 5/16 R&R
Extension of Incomplete Grade Necessary for an IN grade to be extended 5/16 R&R
FERPA – Parental Access Provides instructions for students who wish to grant guardian access to educational records via MyPack Portal R&R
Grade Exclusions Learn how to apply Grade Exclusions in MyPack Portal R&R
Inter-Institutional Registration Registration form for Inter-Institutional classes R&R
Late Registration Fee Refund Request a refund for late registration fee 2/15 R&R
Name Change/Marital Status Change Change your legal name on your permanent records and/or your marital status 11/15 R&R
Personal Information Change Update/change your date of birth or gender 5/16 R&R
Plan/Subplan Change Change plan (curriculum) within a college (program)or change college & curriculum (program & plan) R&R
Preferred Name Request Allows students to request the addition of a Preferred Name to their record R&R
Privacy Block Provides instructions for students who wish to adjust their privacy settings – including application of a full privacy block or full block with publication release R&R
Readmission Information Reapply to NC State University R&R
Readmission to Additional Degree Accompanies readmission application for those seeking an additional Undergraduate degree. To be completed by College/Department.  R&R
Replacement Diploma Request Request a replacement diploma R&R
Schedule Revision Form Use to add, drop, or modify a class after the deadlines 7/15 R&R
Second Major (See “Plan/Subplan”) Add a second major R&R
Student Group Room Reservation Request (HTML) Request a room for a registered student organization R&R
Transcript Request Request a transcript by mail or fax 11/15 R&R
Tuition Surcharge Waiver Request a waiver of tuition surcharge 5/16 R&R
Alternative Loan Statement Complete if student is applying for an alternative loan  1617 OSFA
Child Support Paid Worksheet Complete if the dependent student’s parent is paying child support to an individual outside of the student’s household due to divorce or separation or as a result of legal requirement  2016-17 OSFA
Computer Purchase Complete to include the purchase price of a computer for educational use in a student’s Cost of Attendance OSFA
Conditions and Responsibilities Details about the conditions under which aid is awarded and the student’s responsibilities as an aid recipient OSFA
Graduate Enrollment and Benefits Status Form Graduate students complete to report alternative sources of aid, i.e. Graduate Student Support Plan  2017-18 OSFA
Graduate Enrollment and Benefits Status Form Graduate students complete to report alternative sources of aid, i.e. Graduate Student Support Plan  2016-17 OSFA
Graduate Satisfactory Academic (SAP) Appeal Form Graduate students complete if not meeting satisfactory academic progress requirements OSFA
Identity Confirmation and High School Completion Worksheet Complete to confirm a student’s identity and/or high school graduation  2016-17 OSFA
Low Income Verification Worksheet Complete if the student and/or parent income reported on the FAFSA appears insufficient to support the number of people in the household 2016-17 OSFA
NC VA Scholarship Notification Form Complete to report Veteran’s Benefits OSFA
Parent Statement of IRS Tax-Related Identity Theft Form Complete if a dependent student’s parent(s) has been victims of IRS tax-related identity theft and cannot obtain a copy of the required Federal Tax Transcript 2016-17 OSFA
Parent Tax Return Non-Filer Form Complete if the parents of a dependent student did not file federal income taxes 2016-17 OSFA
Student Statement of IRS Tax-Related Identity Theft Form Complete if the student has been a victim of IRS tax-related identity theft and cannot obtain a copy of the required Federal Tax Transcript 2016-17 OSFA
Student Tax Return Non-Filer Form Complete if the student did not file federal income taxes 2016-17 OSFA
Study Abroad Budget and Contract/Consortium Agreement Complete if participating in a study abroad program that is not affiliate with NC State. OSFA
Study Abroad Course Component Agreement Complete if an abroad component is required to complete an NC State course. OSFA
Study Abroad Enrollment Agreement Complete if participating in a study abroad program affiliated with NC State whether the classes are provided by NC State faculty or a host institution. OSFA
Summer Conditions and Responsibilities Details about the conditions under which summer aid is awarded and the student’s responsibilities as a summer aid recipient. OSFA
Update Form Complete if any the assumptions regarding your classification, housing status, residency or enrollment on which your financial aid award was based are incorrect (see Important Messages tab on MyPack) OSFA
Verification of Class Attendance Form Complete to verify class attendance in the event of an unofficial withdrawal.  SP 17 OSFA
Affidavit and Indemnity Bond Request a replacement refund check Student Accounts
Application for University Fee Appeal In order for appeals to be considered, students must read the guidelines for a university fee appeal in their entirety and followed explicitly. To read all guidelines visit: Application for University Fee Appeal Student Accounts
Request for Itemized Statement You may print and/or view your billing and payment summary by logging into the MyPack Portal. However, if you require an itemized receipt, you may submit a request for an itemized statement. NOTE: Itemized statements cannot be completed until after Census Date (10th day of Fall or Spring semester, 3rd day of a Summer Session) of the term requested. Student Accounts
Request for Refund of Credit Balance To request a refund of credit balance, read the guidelines for a refund request. Financial Aid refunds resulting from federal loans or grants are automatically refunded after the date of disbursement following federal guidelines. If an over-payment shows on a student’s account, and it isn’t created by financial aid, the student may request a refund after Census Date for the semester. If a request is not filed, the over-payment will be refunded during the monthly refund process. Before you proceed to the request for refund form, you must sign up for direct deposit to receive a refund for any credit balance. Review these instructions for signing up for direct deposit. Student Accounts