Electronic Forms

Click below for easy access to Piedmont Community College’s various student request forms.

Admissions Process Forms

Application for Admissions

Electronic Forms/Documents

Electronic Forms (TEAMia)

Click the “Electronic Forms” button above to submit the following requests. (Use your WebAdvisor/Self-Service credentials to log in.)

Change of Information Request
Family Educational Rights and Privacy Act (FERPA) Release Form
Graduation Application
Withdrawal Form
Special Conditions Form – Faculty Only
Class Substitution – Faculty Only

Other Student Forms/Documents

Video Instructions

Change of Information

FERPA Release Form

Graduation Application

Piedmont Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Vice President, Administrative Services, P.O. Box 1197, Roxboro, NC 27573-1197, (336) 599-1181, ext. 2128. For further information on notice of non-discrimination, the OCR office for North Carolina is located at: Washington DC (Metro), Office for Civil Rights, U.S. Department of Education, 400 Maryland Avenue, SW, Washington, D.C. 20202-1475; Telephone Number: (202) 453-6020; e-mail: OCR.DC@ed.gov. Piedmont Community College is committed to making its websites accessible to all users, and welcomes comments or suggestions on access improvements. Please send comments or suggestions on accessibility to the web site administrator.