Admissions Forms 

Academic Fresh Start

Use this form to request previously failed coursework to be excluded from your GPA.

*You must have at least a 4 year separation from all institutions of higher education to qualify*

Application for Dual Admission Program Withdrawal

Use this form to withdraw from a dual admission program.

Application for Readmission

Use this link to submit an online re-admissions application if you are a returning student and have not attended Northeast State for one semester. 

Change of Name, Address, Telephone, or Email

Please click this link to update your address. 

Change of Entry Term

Please click the link to fill out the online form to Change your Entry Term. 

Change of Major

Please click the link to fill out the online form to Change your Major.  Click here to view a list of our current majors. 

Petition for Admission

Use this form to petition for admission at Northeast State following dismissal from a previous institution.

Request for Enrollment Information Letter

Use this form to request an acceptance letter, enrollment history, full-time letter, letter of good standing, or MMR records.

Request for Northeast State Transcript

Use this link to submit an online transcript request.

Online App Signature Page

Use this form if you have submitted an online application for admission and were unable to print the signature page.  

The forms below may be completed and submitted to the Northeast State Office of Admissions and Records. You may submit the form in person, via U.S. mail, or by fax.

  • Office of Admissions and Records

  • Northeast State Community College

  • P.O. Box 246

  • Blountville, TN 37617-0246

  • Fax: 423.323.0215

Application for Admission

Use this form to apply for admission to Northeast State.

ETSU Dual Admission Application

Use this form to apply for dual admission to ETSU and Northeast State.

King University Dual Admission Application

Use this form to apply for dual admission to ETSU and Northeast State.

MTSU Dual Admission Application

Use this form to apply for dual admission to MTSU and Northeast State.

Request to Drop/Add Courses

Use this form to drop or add courses.

Request to Overload

Use this form to request approval to take more than 19 credit hours in a semester.

Request to Prevent Disclosure of Directory Information

Use this form to withhold the release of your directory information.

Request to Repeat a Course 

Use this form to request approval to repeat a grade of A or B. 

Request to Withdraw

Use this form to withdraw from all your classes.

Third Party Authorization for Transcript and Diploma Pickup

Use this form to authorize a third party (family, spouse, friend, etc.) to retrieve your Northeast State transcript, certificate, or diploma. Please submit by fax, email, or in person.