DECLARATION OF DEGREE/CHANGE OF MAJOR

DIRECTIONS: Students may declare and/or change a program of study ay anytime during the term in which they are enrolled. Before submitting this form to the Admissions and Records Office, students are strongly encouraged to meet with an academic advisor in the Center for Academic Advising and the Office of Financial Aid to discuss the impact changing a course of study will have on an educational plan. Students changing programs of study must meet graduation requirements of the catalog in effect at the time of the change.

GENERAL INFORMATION

First Name

Last Name

S Number:

Phone Number

Are you receiving Veteran's Educational benefits?

Have you applied for or are currently receiving financial aid?

Have you taken all the basic skills tests or been exempted from basic skills courses?

Which semester would you like the new program of study to take effect?

Degree/Program of Study

Current Degree Program

Requested Degree/Program

REQUESTED AAS DEGREE OPTION

REQUESTED CERTIFICATE OPTION

REQUESTED AA DEGREE OPTION

REQUESTED AS DEGREE OPTION

REQUESTED AGS DEGREE OPTION

Electronic Signature

I understand that by declaring a degree or changing my program of study, I will be responsible for meeting the degree requirements of the catalog in effect at the time of the change. I certify that the information provided is true and accurate.

Student Name

Todays Date

Indicates Response Required