All Other Forms

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Academic Renewal Request (PDF)
Academic Suspension Appeal Form (online form)
Gainful Employment Acknowledgement (online form)
Oregon Transfer Module Completion (Word document)
Petition for Late Refund of Tuition and Fees (online form)
Placement (CPT) and Proctor Approval Form (PDF)
Registration Request Form (PDF)
Repeated Course Form (online form)
Request to Establish Residency Status (PDF)
Tuition Equity FAQ (PDF)
Tuition Equity FAQ Spanish (PDF)
65+ Tuition Waiver (PDF)

Looking for the Financial Hold Appeal form?  This is a Business Office Form and can be found here:
Business Office Forms page

Please note that some of our forms require free Adobe Acrobat Reader software; these forms will be indicated as "PDF" or "PDF version" after the name of the form.

Printable forms (including PDF's) cannot be saved after completion - be sure to print a hard copy when you are done and before you exit the form.

Printed forms can be returned via any of the methods listed below:

  • IN PERSON:  Admissions office - located in Takena Hall at the LBCC Albany Main Campus
  • BY MAIL: 

Linn-Benton Community College
Attn: Admissions
6500 Pacific Blvd. SW
Albany, Oregon 97321

  • BY FAX: 541-917-4868 

Questions?  E-mail us at: