Office Of The Registrar And Records
![](http://pab1.herbalifa.com/registrar/files/2020/07/jsu_shot.jpg)
Student Resources
Before filling out a PDF, please save the document to your computer and then save the completed form before attaching the form to an email.
Office Of The Registrar And Records
![](http://pab1.herbalifa.com/registrar/files/2023/02/1G1A9361-768x512.jpg)
Before filling out a PDF, please save the document to your computer and then save the completed form before attaching the form to an email.
Declaration of Undergraduate Minor
Mississippi In-State Residency Status Change Application
Petition for Academic Reinstatement
Petition for Retroactive Withdrawal
Request to Remove an Undergraduate Minor, Concentration, Certificate, or Second Major-Form
Undergraduate (UG) Application for Degree Conferral
Benjamin F. Roberts Building, 2nd Floor
Jackson State University
Office of the Registrar and Records
1400 John R. Lynch Street
P.O. Box 17125
Jackson, MS 39217
1.866.THEEJSU (866.843.3578)
601.203.5001