Printable Forms

Print and complete the appropriate form then return to the Office of the Registrar:

1. Change of Curriculum - Student must see an advisor to change curriculum electronically.

2. Committee on Course and Standing Appeal Form

3. Directory Information Non-Disclosure Form (PDF)

4. Enrollment and Graduation Verification Request Form (PDF)

5. FERPA Release Form

6. Personal Data Change Request Form (PDF)

7. Preferred Name Request Form (PDF)

8. Transcript Request Form (PDF)

9. Certificate of Residence Requirement for:

   • New York City Residents (PDF)

   • Out-of-City New York State Residents (Non-New York City Residents)
     

     All residents of New York State are eligible for the New York City resident rate. Students must, however, obtain a Certificate of Residence from their County Treasurer’s Office or Department of Finance. A Certificate of Residence is valid for only ONE academic year, except Nassau County which is good for ONE calendar year.

     Residents of New York counties other than Nassau County:
     There is a 90 day period to apply for a Certificate of Residence: 60 days before commencement and 30 days after commencement of the semester you plan on attending. If you begin classes in the Spring or Summer terms and want to continue classes in the Fall, you MUST submit a new Certificate of Residence in order to receive the reduced tuition rate for the entire academic year.
     For example: If you submit a certificate on August 29, 2013, that certificate is valid for the Fall 2013, Spring 2014, and Summer 2014 semesters. You must apply for a new certificate for the Fall 2014 semester. If you submit a certificate on January 29, 2014, that certificate is only valid for the 2013-2014 academic year, and therefore is only valid for the Spring 2014 and Summer 2014 semesters. You must apply for a new certificate for the Fall 2014 semester.

     Residents of Nassau County:
     If you are a new student, you have a 90 day period to apply for a Certificate of Residence: 60 days before commencement and 30 days after commencement of the semester you plan on attending. If you do not use the certificate for the semester you obtained it for, it becomes invalid and you would have to apply for a new certificate again when you decided to attend school.
     If you are a returning student who already submitted a certificate, your certificate is good for one calendar year. You can apply for a new certificate 1 month before your current certificate expires.
     For example: If you applied for a certificate on March 23, 2014, your certificate would expire March 24, 2015. You can apply for a new certificate no earlier than February 24, 2015.

     It is the student’s responsibility, not the college’s, to ensure that a valid Certificate of Residence is on file at Queensborough for every semester attended.

     Below are applications for a Certificate of Residence:

     • Nassau County »
     • Suffolk County »
     • Westchester County »
     • Albany County »
     • Broome County »
     • Dutchess County »
     • Orange County »
     • Rockland County »
     • Putnam County »
     • Saratoga County »

Please note that Adobe Acrobat Reader is required to view the PDF files. If you do not have Adobe Acrobat Reader, you can download it here for free.

A completed application includes:

• The completed application form opens in a new window

• Submission of proof/supporting documents
  Be sure your documents are credible and authentic.
  These documents are kept with your appeal - be sure you have copies of your own. We will not be able to provide you with copies after your application is submitted.

Returning your completed application and documents:

• You may Fax to: 718-281-5041

• You may Scan & Email to: [email protected] 

• You may Mail to:
  CCS Appeal, Office of the Registrar, Room A-104
  Queensborough Community College
  222-05 56 Avenue, Bayside NY 11364

• You may Drop-Off on-campus: in room A-104, the Registrar’s Office

Committee on Course and Standing Student Appeal Form opens in a new window

Note: Please be patient for a response to your appeal