Student Forms

The following are the most frequently used student forms in the Tech & Health Division. If you have any questions about any form form. Please the contact our office at (909) 274-4750 | Building 28A-101E.

Steps:

Download the appropriate form.
Complete and print form.
Submit the form to our office.

Variance Form
Credit by Exam Form
Student Complaint Form

Other Forms (available on your student portal, under Admissions & Records Forms section)

Level Transfer

Submit Completed Form

Other Forms

The following forms are available at the Admissions & Records (A&R) forms and publications website or the student portal. They are online AdobeSign PDFs that must be filled online. They completed for will be emailed to the student at their Mt. SAC email address. Before submitting any forms, please have the following items available to you as you may need them: Mt. SAC student email address and A# number. Depending on the form you are submitting you may also need additional documents. Please have those documents available as incomplete forms will not be processed. If you have any questions about the forms below, please email to admissions@mtsac.edu.

- 1A & R Forms:(Petition & Cert. App)
  FORMS
  1. Petition for Exceptional Action
  2. Application for Certificate
  INSTRUCTIONS
  1. Complete the forms using AdobeSign
  2. Follow all directions when completing the form.
  3. Use your Mt. SAC email address (...@student.mtsac.edu) when prompted to enter your email address.
  4. Wait for an email from "Adobe Sign" and verify your email address.
  5. After verifying your email address, you will receive an email from "FCCC-Mt. San Antonio College". The form you have submitted and other documents (if applicable) will be attached to this email.
  6. Download the form and attachments
  7. The student will then go to the A&R Forms page and submit their completed form through a SmartSheet.
- 2Portal Forms: (Class related)
  FORMS
  INSTRUCTIONS
  1. Log into Portal
  2. Click on the Student tab
  3. Click on the link to the form you want to submit.