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1 1 ? 1 p R W 0 P _ , T P : CHANGE of DEGREE/MAJOR/CONCENTRATION
A. Student Information
Student name: _______________________________ Cumulative GPA: _____________
Present degree sought (circle one): AA AS BA BS
Present major (and concentration if applicable): _____________________________________
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
NEW DEGREE sought (circle one): AA AS BA BS
NEW MAJOR (and concentration if applicable): ______________________________________
New anticipated date of graduation: __ May __ December __ Summer YEAR: ________
If changing from AA/AS to BA/BS level, will you complete your AA/AS degree prior to this change taking place? __ Yes, I will earn my AA/AS first __ No, the change is immediate
NOTE: A change in degree level may impact a students financial aid. Any student awarded any aid should discuss the change with the
Financial Aid Office prior to submitting this change form to the Registrars Office.
Please briefly state the reason for the change: _____________________________________________
Student signature ________________________________ Date: _____________________
B. Advisor Review
Advisors signature _________________________________ Date: __________________
Advisors comments: ____________________________________________________________________
C. Department Chair Approval:
EXITING Major/Concentration
______________________________ Chairpersons Comments:
Department Chairpersons Signature
ENTERING Major/Concentration
__ Approved __ Not Approved
______________________________ Chairpersons Comments:
Department Chairpersons Signature
Effective Date of this change: ___________________
Registrars Office Use Only: Date change made in BB system: ___________________ Initials _______
Email cc to: Student, Advisor, both Department Chairs, Academic Advising Office, Financial Aid, Athletics
Form Updated: October 2010
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