Student Forms Center

Forms

• Forms for All Students

  Address Update (Requires login) (all students, online form) 
  You can update your address(es) and phone number(s) online via MAX. Please contact the Help Desk at (717) 871-2371 if you need assistance logging into your MAX account. Remember, without a correct address on file, you will not be able to receive important notices, including your bill. If you need to change your name, please provide the Registrar's Office with official documentation, e.g. photocopy of social security card, court decree, marriage certification.

  Authorization to Release Information (all students, PDF form) 
  Completion of this form is necessary if you would like your financial aid information released to anyone other than yourself (including your parents). It is valid for the student's academic career. If there is a change, a new form should be completed and the old form will be void. The form should include anyone, including parents, to whom the student would like financial aid information released. Please read the form carefully before completing it.

  Drop/Add Procedures (resource link for all students)
  View instructions and other information about Drop/Add procedures and dates.

  Federal Aid Authorization Form (all students, online form) 
  Grant the Office of Student Accounts your permission to use Title IV funds to cover miscellaneous expenses charged on your student account. If there is an excess of funds once the standard costs have been paid, your permission is needed in order for federal funds to cover these additional charges.

  Financial Aid Forms Center (resource link for all students)
  The Financial Aid Forms Center is a resource to help you manage your financial aid—regardless of your program or level of study. Most necessary forms are available here, including those for notifying the Office of Financial Aid about changes to your enrollment or housing, or authorizing the release of financial aid information. You can also find documents to request loan adjustments, summer aid, consortium agreements, and advanced refunds. Additionally, SAP appeal forms and other important guides and policy-related materials are provided. These resources can help you ensure that your aid is accurate before it pays and prevent any delays in receiving your funding.

  Grade Report Requests (all students, online form) 
  Use this form to request a paper grade report on a university form be mailed to your mailing address.

  Health Evaluation Forms (resource link for all students) 
  Forms packet for new incoming students; contains 4 forms: Student Report of Medical History, Immunization record, Medical Practitioner's Disclosure, and Medical Practitioner's Report of Health Evaluation

  Leave of Absence/Withdrawing from Millersville (all students, online form)
  Withdrawals/LOAs submitted during summer will be effective the following fall and those submitted in winter will be effective the following spring. Note: If you are taking a Leave of Absence or Withdrawing for medical reasons from the current semester, contact the Registrar's Office at 717-871-5005 for more information. Graduate students who have started their program may request a leave of absence (for up to one year) or withdraw from their program using this link. If you are a newly incoming student for the upcoming term, please contact the Admissions team.

  Pass/Fail Course Request Form (all students, PDF form)
  Use this form to elect to take a course pass/fail. The form must be received in the registrar's office (email) by the end of the drop/add period for a given term, see academic calendar for deadlines. Note that courses elected pass/fail may NOT fulfill General Education, Major, Minor or Required Related course requirements per standard policy. They serve only to meet the credit minimum for a degree program. Full policy is outlined on the form.

  PASSHE Visiting Student Form (all students, PDF form)
  Intended for undergraduate students who wish to enroll in a course at another PASSHE school and have the course come back to Millersville as if it was a Millersville course. This is for courses NOT appearing on the course share website. Registration and payment will be made to the PASSHE school offering the course, and it will transfer to Millersville (as resident credit) upon completion of the course. Please note that any coursework taken through this program will come in as a Millersville course and will affect your GPA nor can it be used to repeat a course already taken at Millersville. Please read the attached policy for further restrictions on use.

  PASSHE Course Share Student Form (all students, PDF form)
  For courses appearing on the approved list for PASSHE course sharing. Courses registered via course share will show up on a student's Millersville schedule and the student will pay Millersville directly for the credits. Please note that any coursework taken through this program will come in as a Millersville course and will affect your GPA nor can it be used to repeat a course already taken at Millersville.

  Permission (Academic Department) to Enroll/Wait-List in a Restricted Class (all students, pdf form)
  Use this form to receive permission from the faculty to enroll in a course that has restrictions; such as permission required, prerequisites, limited to majors or class level (Jr., Sr., etc.). The completed form will be processed by the academic department and the student will need to register themselves once processed.

  Permission to Enroll in a Class That Has a Time Conflict (all students, pdf form) 
  If you have two courses that have a time conflict and one of the faculty is willing to work with you about missed time, please use this form. Register for the first course on MAX and bring this form to the Registrar's Office so you can be registered for the second class.
  NOTE: The overlap in classes should not exceed 15 minutes.

  Request for Independent Study or Individualized Instruction (all students, Kuali form) 
  Graduate and undergraduate students may use this form to request permission to pursue a special study such as independent study, individualized instruction, departmental honors study, honors course study, University Honors College thesis, graduate thesis and practicum. This form must be completed with all required signatures and processed by the Registrar's Office (student registered) before the study begins.

  Transcript Requests (resource link for all students)
  Refer to this page for how to request an official transcript to be sent (electronic, mail or pickup).

  Withdraw From a Class for the Current Term (all students, online form)
  You will be asked to sign in to complete the form and it will be routed to your instructor before coming to the Registrar's office for processing. Please see the registration guide for details regarding course withdraw deadlines. New federal regulations and impact on financial aid: One Big Beautiful Bill Act Impacts. Planning to be enrolled less than full-time?  Please read about loan proration for undergraduate students or graduate students. Be aware that failing or non-completion grades, including F, I, W, and Z, may also impact your current or future financial aid eligibility and, in some cases, may result in federal loan funds being returned. Please review the Failing & Non-Completion Grades section for more information. 

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• Undergraduate Student Forms

  Academic Program Change Request (undergraduates, online form) 
  This form is for CURRENT students only.
  Current students, use this form to request a change to your academic program. Including changing, adding or dropping a major and adding or dropping a minor. Requests for a change in catalog term (to backdate or update requirements) may also be submitted via this form. If you wish only to change advisor, that is handled through individual departments, please contact your department secretary or chair if you are only seeking an advisor change.

  • If you are NEWLY Admitted and have not started courses yet, your change must be processed through admissions: https://apply.millersville.edu/register/changeform
  • If you are NEWLY admitted, you may use this form to add a minor or add a second major, but not change major. You may use this form to request a catalog term change, for example if you are a re-entering student and have discussed with your advisor that Legacy Gen Ed would be more beneficial, you can use this form to request that change.

  Exception to Program Requirements (undergraduates, online form) 
  Use this form to request exceptions in the major, minor, general education or university academic policy requirements.  Note: this should be submitted well in advance of your expected graduation date.

   

  Graduation Application (undergraduates, online form)
  Use this application to apply for your undergraduate (bachelor's, associate's) degree or Millersville University undergraduate certificate program at the beginning of the term in which you will complete your requirements.

  • This form is NOT for PDE/Teacher certifications (see completion steps process for PDE post-baccalaureate teacher certification under graduate level forms).
  • See term calendars on the Academic Calendar page for deadline information. This application will require you to login to MAX and will be routed to all applicable advisors and department chairs, so please be sure your curriculum is updated with any changes to major/minor for your degree before you submit your application. More information for students regarding graduation and commencement is on the commencement website. When this form is approved and processed, a $30 degree fee will be assessed to your student account and you can login to SAM to see the fee and make the payment.

  Permission for an Undergraduate Student to Enroll/Wait-List in a Graduate Class for Undergraduate Credit (undergraduates, pdf form) 
  An undergraduate student who wishes to take a graduate 500-level course for undergraduate credit (bachelor’s degree credit) or an undergraduate accelerated admission graduate student who wishes to take a graduate 500-level or 600-level course (for bachelor’s and master’s degree) must have this form completed by the department offering the course. The completed form will be processed by the Registrar's Office.

  Permission for an Undergraduate Student to Enroll/Wait-List in a Graduate Class for Graduate Credit (undergraduates, pdf form)
  Intended for undergraduate students who wish to enroll in a graduate level (500- or 600-) course for graduate credit only. Students must have a minimum of 3.0 GPA and have a maximum of 15 credits remaining to be completed in their baccalaureate program. A non-degree graduate student application must be submitted in addition to this form for post-undergraduate degree processing if the student is not admitted to a Millersville graduate program.

  Reverse Transfer Request (undergraduates, pdf form)
  This form is for current MU students who have previously transferred from a PA community college.  They must have completed 30 credits at the community college, and at MU have completed 15 or more credits with an overall GPA at least 2.00 and no holds on their account to qualify for reverse transfer.

  Transfer of Credit (undergraduates, pdf form)
  Use this form to request authorization to pursue credits at a different institution and transfer the credits back to MU for your undergraduate degree.  This form is for domestic U.S. credits only. If you are seeking approval for transfer of credit for a study abroad program through another U.S. Institution or an international institution, you must complete transfer authorization through the office of Global Education. 

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• Graduate Student Forms

  Change of Graduate Curriculum (masters/doctoral/Millersville certificate students, PDF form)
  Intended for students seeking to change or add to their current master's degree or supervisory certification program to another master's degree or supervisory certification program at MU. (NOT FOR POST-BACCALAUREATE PDE (TEACHER) CERTIFICATION PROGRAM CHANGES OR ADDITIONS, MUST GO THROUGH ADMISSIONS)

  Exception to Program Requirements (masters/doctoral/Millersville certificate students, online form) 
  Used to request exceptions and waivers to program requirements including course substitutions, waivers or review of prior MU coursework taken before admission to your current program. (NOT FOR POST-BACCALAUREATE CERTIFICATION PROGRAM CHANGES OR WAIVERS)

  Graduation Application (masters/doctoral/Millersville certificate students, online form)
  Intended for students working in the final semester of their master's or doctoral program or MU certificate program (Gifted, Nursing Education, Familty Nurse Practicioner, etc.) and seeking to be evaluated for graduation. (NOT FOR THOSE SEEKING PDE RECOMMENDATION FOR CERTIFICATION, see next form)

  Completion Steps for Post-Bacc Teacher (PDE) Certification Programs (graduate level PDE (teacher) certification students, PDF form)
  For graduate students who are seeking PDE recommendation at the completion of their post-baccalureate certification programs.

  Dismissal Appeal (all graduate level students, PDF form)
  MUST BE SUBMITTED BY DEADLINE DATE SHOWN IN YOUR DISMISSAL NOTICE. This form is intended for students who have been academically dismissed from their graduate program, if they wish to appeal the dismissal to the Graduate Academic Appeal Committee. Appeals Checklist

  Program Credit for Courses from another institution (masters/doctoral/Millersville certificate students, PDF form)
  Intended for graduate students seeking to fulfill program requirements with graduate courses which were taken at another regionally accredited institution prior to program admission. (fillable PDF finalized in DocuSign) (NOT FOR POST-BACCALAUREATE TEACHER CERTIFICATION (Instructional I) PROGRAM CHANGES)
  

  Re-evaluation of certification requirements (graduate level PDE (teacher) certification students, pdf form)
  Intended for students seeking post-baccalaureate certification PDE recommendation, to request that their program coordinator review or re-evaluate coursework or Praxis Test results to count toward their certification program requirements. (fillable PDF finalized in DocuSign)
  

  Program Extension Request and Return from Leave of Absence (all graduate level students, PDF form)
  Intended for students seeking to extend the eligible time in their graduate program beyond the 5-year limit or return to active student status after an approved leave of absence from a graduate program. (fillable PDF finalized in DocuSign)

  Permission to Take a Required Course at Another University (masters/doctoral/Millersville certificate students, PDF form)
  Use this form if you want to request permission to take a required course at another university and transfer the credit to your master's or doctoral degree program at MU. Prior approval is required, and you will need to assure that an official transcript showing completion of the course is sent to MU. (NOT FOR POST-BACCALAUREATE PDE (TEACHER) CERTIFICATION COURSES, see next form below)

  Permission to Take a Certification Program Course at Another University (graduate level PDE (teacher) certification students, PDF form)
  For post-baccalaureate certification students to request permission to take a course at another university to fulfill a certification program requirement. Form must be fully approved prior to beginning the course. Offical transcript showing grade will be required upon completion. See details on form.

  Application for Degree Candidacy (master's degree students only)
  Intended for students seeking to advance to degree candidacy in their master's degree program. Degree candidacy requirements and processes vary and are managed by the individual departments.

  Information and Forms Related to Thesis, Dissertation, and Scholarly Projects

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