TRANSIENT STUDENT APPROVAL FORM
Instructions:
A JSRCC Application for Admission (requesting Transient Student Status) must be on file in the Registrar’s Office prior to regis-
tration. High school and college transcripts are not required, and any placement testing requirements will be waived, as a
courtesy to the home institution. This Transient Student Approval Form should be submitted to the JSRCC Registrar well in
advance of registration. The Advisor from the home institution must approve all courses and must sign the form before it is
honored. The student should request a personal copy of this approval from the home institution.
The home institution approves these JSRCC classes for completion of degree requirements.
JSRCC Form No. 11-0006 Transient Student Approval form 07-2019
Last Name First Name MI Jr.,3rd
Last 4 of SSN: EmplID:
Daytime Phone#: Email :
Reynolds Community College
Office of the Registrar
Post Office Box 85622
Richmond, Virginia 23285-5622
Telephone: (804) 523-5030- Fax: (804) 371-3650 - Email: Registrar@Reynolds.edu
Intended Term of Enrollment at JSRCC:
FALL SESSION (Aug - Dec) 20 SPRING SESSION (Jan - May) 20 SUMMER SESSION (May - July) 20
Intended Campus: Downtown Parham Goochland
JSRCC
Subject
JSRCC
Number
JSRCC Class Title Class
Credits
ENG 111 English Composition I 3
E X A M P L E
Office Phone#: Fax Phone#:
Home Institution:
Institution Advisor:
Approval Signature: Date:
You may order an official transcript from Parchment. If you don’t have an account, go to
Reynolds.edu., Student Services click on Transcripts in the drop down.
SIGNATURE OF STUDENT: DATE:
click to sign
signature
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