Registrar Forms

Secure Document Upload

Visit butlercc.edu/registraruploads using your Butler login credentials for secure download and submission of electronic documents.

The security of student educational records is important to us. For this reason, the Registrar’s Office at Butler Community College utilizes Office 365 for electronic submission of documents. Visit butlercc.edu/registraruploads using your Butler login credentials to submit forms electronically.

If you are a former student and no longer have access to Butler credentials, the documents below can be submitted in person or by mail to one of our Registration Locations. If the submission is time sensitive and cannot be submitted in person or by mail, please contact the Registrar’s Office for assistance.

If you require username or password assistance, contact the BCC Service Desk or call (316) 322-3306.

Employee Exemption Form

Student Data Update Form

Affidavit of Residency

High School Release Form

Refund Appeal Form

Release of Information Form

Graduation Application Form 

OER and Publisher Subscription Appeal Form