Student/General Public Fill-in Forms

A - B - C - D - E - F - G - H - I - J - K - L - M - N - O - P - Q - R - S - T - U - V - W - X - Y - Z


Fill-in Forms make it possible for you to enter information while the form is displayed through Word or Acrobat Reader.  You can the print and file your completed form or attach to an e-mail message.  PDF formatted documents contain the same text as the original printed documents.  To view PDF formatted documents, you must have Acrobat Reader, which is available free from Adobe.  Click the link to download the latest version of Acrobat Reader.  Please review Completing a Fill-in Form for detailed instructions on usage.  To save the fill-in formation with the form, use the Word version.  Acrobat Reader will not allow the information to be saved.

*If you are experiencing an issue with a fill-in form, please contact smithk@faytechcc.edu.  The IEA staff will make contact with you about your request within 24 working hours of receipt of your message.

Forms created in "Excel" format are identified

A

FTCC Form #

Word

Acrobat Reader

Accident/Medical Incident Report, Request for Security (Security) (Revised 08/29/2013) A-7  N/A  pdf 
Additional Residency Information, Request for (Revised 03/12/2013)
A-31  doc  pdf 
Advance Payment, Request for (Revised 08/26/2013) A-4 doc pdf
Affidavit of Support (I-134) (Revised 03/12/2013) A-16  N/A  pdf
Altercation Statement (Security) (Revised 03/28/2012) A-10  doc  pdf
Ask A Question:  Counseling (Revised 08/26/2010) A-32 N/A  pdf
Assistance from Security, Request for (Security) (Revised 02/19/2014) A-11  doc  pdf
B FTCC Form # TOP
Bomb Threat Checklist (Security) (Revised 01/31/2011) B-1  N/A  pdf 
Bomb Threat Evaluation Sheet (Security) (Revised 01/31/2011) B-3  doc  pdf

C

 FTCC Form # TOP  
Change Academic Program Approval Form (Revised 02/10/2014) C-42  doc  pdf
Consent for Release of Student Information (FERPA) (Revised 10/26/2011) C-49  doc  pdf
Continuing Education Student Registration Form (Revised 03/07/2013) C-22  N/A  pdf
Continuing Education Unit Course Approval Form (Revised 03/07/2013) C-43  doc  pdf
Course Repeat Request, First & Second Attempt (Revised 04/28/2011) C-36  doc  pdf
Course Repeat Request, Third Attempt (Revised 03/07/2013) C-8  doc  pdf
D FTCC Form # TOP
 Discrimination/Harassment Complaint Form (Revised 10/23/2014)  D-8  doc  pdf
Dissolve a Student Club or Organization, Request to (Revised 11/16/2010)

D-13

 doc  pdf
E FTCC Form #

TOP

 

Employer Job Posting/Students and Alumni Jobs (Revised 04/02/2013)  E-9

 doc

pdf

F

FTCC Form #

TOP

 Facilities Request Form (Revised 12/14/2010)

F-13

doc  pdf 
 Fay Tech NOW Assessment (Revised 06/29/2011)

F-21 

 N/A  pdf
 F1 Student Responsibility Agreement (Revised 03/11/2013)

F-23 

 doc  pdf
G

FTCC Form #

TOP
Getting Help: Counseling (Revised 08/26/2010)

G-6

 N/A pdf
GPA Confirmation Form (Revised 12/08/2011)

G-5

 doc  pdf
Grade Forgiveness, Request for (Revised 08/15/2013)

 G-8

doc N/A
Graduation Fee Refund, Request for (Revised 04/28/2011)

 G-4

 doc  pdf
  H

 FTCC Form #

TOP  
Health Audit Appeal Form (Revised 1/27/2014)

H-5

 doc  pdf
Health Program Readmission Form (Revised 11/04/2012)

H-4 

 doc  pdf
High School Connections Form (Revised 03/17/2014)

H-3

 N/A  pdf
  I

 FTCC Form #

TOP  
Intake Form, Student (Special Populations) (Revised 06/07/2012)

I-18 

 doc  pdf
Interlibrary Loan (OCLC) Book Request (Revised 03/07/2013)

I-11 

 doc  pdf
International Student Financial Certificate (Revised 10/11/2011)

I-10

 doc  pdf
ISA Agreement, Level One (Revised 03/27/2013)

I-5 

 doc  pdf
  J

 FTCC Form #

TOP  
No Forms at this time

 

  
  K

 FTCC Form #

TOP  
 No Forms at this time

 

  
  L

FTCC Form # 

 TOP 
 Library Orientation Quiz (Version 1) (Revised 03/08/2013)

L-5 

 doc  pdf
  M

FTCC Form # 

TOP  
 Military Tuition Waiver Form (Revised 06/03/2014)

M-7 

 doc  pdf
Mitigating Circumstances, Report of (Revised 08/26/2013)

 M-4

doc pdf
 Model Release Form (Revised 03/08/2013)

 M-10

 doc  pdf
  N

FTCC Form #

TOP  
 New VA Student Checklist (Revised 03/08/2013)

N-1 

 doc  pdf
  O

FTCC Form # 

TOP  
 No Forms at this time

 

  
  P

FTCC Form # 

TOP  

Parking Permit, Request for Security (Security) (Revised 01/31/2011)

P-5

N/A  pdf
PAS Assessment (Revised 08/24/2012)

 P-10

 doc  pdf
Petition/Recognition for a Student Club or Organization (Revised 12/14/2010)

P-6 

 doc  pdf
Post 9/11 GI Bill-Chapter 33 (Veteran Services) (Revised 03/08/2013)

P-7 

 doc  pdf
Pre-Entrance Medical Record for International Student (Revised 10/20/2011)

P-11

 doc  pdf
Preliminary Application for Foreign Student Admission (Revised 09/29/2011)

P-12 

 doc  pdf
President's Award Nomination Form (Revised 03/14/2011)

P-26 

 doc  pdf

Q

FTCC Form # 

 TOP 
 No Form at this time     
R

 FTCC Form #

TOP  

Registration Change Notice (Revised 02/02/2011)

R-15 

 N/A  pdf
Reinstatement Request Form (Revised 04/04/2012)

R-17

 doc  pdf
Residency Appeal Application (Revised 10/11/2010)

R-16

 doc  pdf

Rose Garden Reservation Form (Revised 03/12/2013)

R-11 

 doc  pdf
S

FTCC Form # 

TOP  
Student Activities, Request for Approval of (Revised 12/15/2010)

S-10 

 doc  pdf
Student Assistance Program Referral (Revised 04/11/2012)

S-17

 doc  pdf
Student Data Change Form (Address) (Revised 02/02/2011)

S-37

 N/A  pdf
Student Notification of Excused Absence for Religious or Solemn Observance (Revised 03/07/2013)

S-41 

 doc  pdf
Student Probation Form (Revised 07/11/2012)

S-20 

 doc  pdf
Student Suspension Appeal for Re-Admission (Revised 07/11/2012)

S-7 

 doc  pdf
Student Tuition/Fee Appeal Form (Revised 05/16/2014)

S-31 

 doc  pdf
  T

FTCC Form # 

TOP
Time Sheet, Temporary Off Campus (Work Study) (Revised 09/30/2014)

T-26

 Excel N/A
Time Sheet, Temporary On Campus (Work Study) (Revised 09/30/2014)

T-27 

 Excel  N/A
Transcripts, Request for Continuing Education (Revised 02/02/2011)

T-21

 N/A  pdf
Transcripts Request, Curriculum (Revised 05/07/2012)

T-18 

 doc  pdf
Transcript Request, Unofficial Curriculum (Revised 09/02/2011)

T-19 

 doc pdf 
Transcript(s)/GED Request Form (Revised 03/12/2013)

T-17 

 doc  pdf
Transfer Form for International Students (Revised 09/28/2011)

T-11 

 doc  pdf
Tuition for Family Members Moving to NC Due to Employment, Instate (Revised 03/13/2013)

T-24

 doc  pdf
Tuition Waiver Form For Tuition Paid By Employer (Revised 03/13/2013)

T-23

 doc  pdf
U

FTCC Form # 

TOP  
 No Forms at this time

 

  
  V

FTCC Form # 

TOP  
Visiting Student Letter (Revised 02/02/2011)

V-7

 doc  pdf
Visiting Student Permission to Register at Another College (Revised 08/26/2013)

 V-9

doc pdf

W

FTCC Form # 

TOP
Work-Baed Learning (WBL) Student's Measurable Learning Objectives (MLOs) (Revised 07/21/2014)

W-11

doc pdf
Work-Based Learning (WBL) Application (Previously Co-Op) (Revised 06/24/2014)

W-8

doc pdf
Worksheet, Placed Student Information (Work-Based) (Revised 07/21/2014)

W-10

doc pdf
Workforce Development Staff Leave of Absence Request (Revised 04/03/2013)

W-3

 doc  pdf
Workforce Development Center Worksite Request (Revised 04/03/2013)

W-5

 doc  pdf
Work-Study Allowance, Application for (VA office) (Revised 08/26/2013)

W-6 

N/A pdf
 X

FTCC Form # 

TOP 
 No Forms at this time

 

  

 FTCC Form #

TOP   
 No Forms at this time

 

  
Z

FTCC Form # 

TOP   
 No Forms at this time