Lansing Community College

Dynamic Forms

These forms require you to sign into myLCC prior to submission. Please refer to this How To Guide on completing these dynamic forms.

Administrative Appeal

If you have experienced mitigating circumstances, submit this form to request an exception to published college policy regarding refund deadlines, procedures and/or tuition cancellation.

Application for Degree and Certificates

Prior to submitting an application for an Associate Degree, Certificate of Achievement, or Certificate of Completion; students should consult with an advisor to review progress toward completing requirements.

Change of Name

You will also need to submit a legal document such as an enhanced driver's license, enhanced state id, marriage license, passport, or court document. Social security cards cannot be accepted as legal documentation.

Change of Program

Use this form to request a Change of Program for the current and/or next two semesters.

Honors Letter Replacement Form

Use this form to request a duplicate Dean's or President’s List letter for any semester after Spring 2010.

Identity Theft & Fraud Claim

Individuals who believe their identity has illegally been used to apply at LCC and receive financial aid should complete this form. To begin this form you will need to create a Dynamic Forms account; this does not require an LCC student account. Within the form you must submit one of the following: police report (may complete with LCC DPS), loan servicer claim, a claim confirmation with the Federal Trade Commission (FTC), or Department of Education (DOE). Please allow for 30 - 60 days for internal processing and final determination of claim with LCC.

Release of Information - Effective January 7th, 2019

This release will go into effect on Monday, January 7th, 2019. All previously submitted paper versions of the form will no longer be valid. In accordance with The Family Rights and Privacy Act (FERPA) of 1974, LCC cannot discuss your academic and/or financial information with your parents, spouse, or guardian. By completing this dynamic form, you authorize LCC to discuss this information with your designee. Note: This form can also be used to add, remove, or change your designee(s) on your Release of Information. Please contact the Registrar's Office at 517-483-1200 if you have questions.

Request for Duplicate Acceptance Letter

Use this form to request a duplicate LCC Acceptance Letter.

Request to Prevent Disclosure of Directory Information

Directory information will be withheld until the student requests, via another form, that confidentiality be released.

STUDENT DECLARATION OF RESIDENCY

Students who have been admitted as out-of-state or out-of-district may submit this form with supporting documents to get a lower tuition rate.

Enrollment Verification Request

Enrollment and degree certification provides confirmation of enrollment status (e.g., full-time, part-time), dates of attendance, and degree(s) conferred. Certification is used to confirm this information to insurance companies, lenders, employers, and other organizations. You can also get this information instantly in myLCC.

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PDF Forms

PDF FileHigh School Dual Enrollment Approval Form

High school and home school students must submit forms every semester prior to registration.

PDF FileExperiential Learning Packet

Relevant aspects of personal and professional experience gained through actual job-related activities and special training experiences may be applied to an academic program at LCC.

PDF FileGraduation Replacement

Order a replacement diploma, certificate, tassel, or honor cord.

International Student Forms

These forms are only for international students who are currently using an F1 visa.

PDF FileUnder age 18 High School Graduate Approval

If you have already graduated high school but have not turned 18 years old yet, you must have a parent or legal guardian sign this form.

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Late Registration - Schedule Adjustments

Schedule adjustments are allowed within the first week of each part of term. A schedule adjustment is defined as the adding of a course by a student with registration history for the current semester, switching sections, or being reinstated into a section in which the student was previously registered. Faculty approval is required for a schedule adjustment request during the first week of each part of term. Schedule adjustments after the first week of each part of term require a signature from both the faculty and the Academic Dean.

Lansing Community College does not allow late registration. Late registration is defined as registering into a section that has already met. Special circumstances may be considered after consultation with faculty and with final approval from the Academic Dean. If the section you would like to register in has already met, please meet with an Academic Advisor to discuss options for late-start sections.

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