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Student Records Forms

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The Student Records office is where forms originate and where they are filed. If you need a transcript sent to another school, are dropping or adding a class, or need to change your status, you will find the forms you need here.

  • Document .pdfAcademic Dismissal Appeal Request


    Appeal form contesting academic dismissal (college or program dismissal)

    Download
  • Document .pdfAcademic Integrity Appeal Request


    Form to be used to appeal an academic integrity violation

    Download
  • Document .pdfAdministrative Appeal Request


    The form to request an administrative or policy appeal

    Download
  • Document .pdfCandidacy for Program of Study - Allied Health


    Complete this form and checklist regarding admission to a program of study within the Allied Health Division

    Download
  • Document .pdfCandidacy for Program of Study - Associate of Science in Nursing


    Complete this form and checklist regarding admission consideration into the Associate of Science Nursing program

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  • FormCandidacy for Program of Study - Bachelor of Science in Nursing


    Students who wish to be considered for the BSN program at Mercy College of Ohio should complete this form.

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  • Document .pdfChange of Name/Address Form


    Complete this form and submit coordinated documentation to update your name or address on file at Mercy College

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  • Document .pdfChange of Major/Minor Form


    Complete and submit this form, after reviewing with an academic advisor, to update your major or minor

    Download
  • Document .pdfCredit By Examination Form


    Use this form to register for standardized or departmentally-prepared examinations taken for academic credit (per instructor’s and Dean’s approval).

    Download
  • Document .pdfEnrollment Verification Request Form


    To request an enrollment of degree verification for Mercy School of Nursing, St. Vincent School of Nursing, and St. Vincent School of Radiography you must complete this form.

    Download
  • External LinkGED Transcript Request


    Use this site to request a transcript for a GED credential earned before 2014

    Visit Link
  • Document .pdfGrade Appeal Request


    A student disputing a final course grade or final clinical evaluation may submit an appeal using the grade appeal request form

    Download
  • Document .pdfGraduation Application


    Complete this graduation application in accordance with your academic advisor.

    Download
  • Document .pdfIndependent Study Proposal


    Submit this form to propose an independent study, within the guidelines of course development

    Download
  • Document .pdfLearning Contract


    A form for use in academic probation situations

    Download
  • Document .pdfLetter of Recommendation Release Form


    School officials should complete this form as a formal agreement to provide a student with a written recommendation.

    Download
  • Document .pdfPost Enrollment Transfer Credit Form


    The Post Enrollment Transfer Credit Form must be completed prior to enrolling in a course(s) at another institution.

    Download
  • Document .pdfRegistration Form


    Complete this form with an advisor to formally add, drop, or withdraw from a course

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  • Document .pdfRelease and Consent for Disclosure of Student Education Records


    In accordance with Family Education Rights and Privacy Act (FERPA), students at Mercy College of Ohio may choose to complete and submit this form to the Office of Student Records allowing the release of their education records to specified third parties.

    Download
  • Document .pdfRequest For Incomplete Grade Form


    Request For Incomplete Grade Form

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  • Document .pdfRequest to Opt Out of Directory Information


    By completing this form, you are requesting that your directory information (described in this document) not be released without your express written consent unless otherwise allowed under the Family Educational Rights and Privacy Act (FERPA).

    Download
  • Document .pdfRequest for Transcript (from another institution)


    Complete the following and submit it to all high school, colleges or universities you have previously attended

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  • Document .pdfTranscript Request Form


    Complete this form and submit to the Registrar to request a transcript from a Mercy College institution

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  • Document .pdfWaiver/Substitution Form


    Complete this form to request an adjustment, waiver, or substitution for a student's courses within a program

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  • Document .pdfWithdrawal/Leave Form


    Complete this form to formally withdrawal or request a leave from Mercy College

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