This form is required for any student needing to prove Tennessee or bordering county residency for fee payment purposes. Please attach copies of supporting documentation.
Certificate of Immunization
All full-time students are required to demonstrate that they have been appropriately vaccinated against measles, mumps, and rubella (MMR) and chickenpox (varicella). Some exemptions may apply.
Certification of Total Disability
This form is required for a student with total disability who is seeking a reduction of fees.
Change of Personal Information
Change of Personal Information: This form is required to update personal information such as name, social security number, or date of birth. Appropriate documentation must be submitted with form.
Hepatitis B (required by students less than 18 years old)
All students under the age of 18 at the time of registration must submit this form with a parent or guardian's signature.
Intent to Graduate Forms
Intent to graduate forms for each academic year (fall, spring, and summer) should be submitted by the end of October. Submission will initiate printing your diploma and posting your credential on your transcript. The transcript is the official record of completion and will be required for transfer. It may also be required for employment or job placement.
Out-of-State Resident Employment Verification
Part-time out of state students may be eligible for an in state fee reduction if they work full time in the state of Tennessee.
Use this form to request a copy of your Chattanooga State transcript.
Change of Address
This form is required to change your permanent address, mailing address, telephone number or e-mail address.
Change of Major or Program
Use this form to officially change your field of study at Chattanooga State. An appropriate advisor must sign this form before being submitted.
Authorization to Disclose Educational Records to Parent/Third Party
In order to authorize others to inquire about an educational record, a student must submit this form with a copy of their photo ID. The authorization will remain in effect until rescinded in writing.