2021-2022 FINANCIAL AID
PROGRAM CHANGE APPEAL
STUDENT INFORMATION
First name _______________________________________ Middle name __________________________________
Last name _______________________________________ Student ID Number ______________________________
INSTRUCTIONS
Please return this form to the Financial Aid Office by email: fin_aid@everettcc.edu or fax 425-388-9185
1. If you have not done so already, update your new Program Code with Enrollment Services Go to
www.everettcc.edu/studentforms and select "Major/Program Change Request".
2. If applicable, request an official evaluation of credits earned at all other colleges you have attended.
The Financial Aid Office will also accept an unofficial evaluation by your program advisor- you can
obtain a signed curriculum guide checklist by meeting with your program advisor to determine if any
courses earned at another college will apply to your program at EvCC.
3. Attach your Degree Audit or Degree Planner (from Starfish) for your new program.
4. Provide your statement to explain why changing your Major or Program will help you succeed in your
academic and career goals, and why you no longer want to complete your current degree or certificate
program at EvCC. Attach your statement if you need more space.
5. Please complete the Financial Aid Graduation Plan on page 2:
Submit this form in person or mail, electronically, or by fax:
Financial Aid Office, Everett Community College, 2000 Tower Street, Everett, WA, 98201
fin_aid@everettcc.edu • Fax (425) 388-9185
Financial Aid Graduation Plan
On the chart below, enter the year for each quarter and fill in the courses you have remaining to complete your program.
Summer Quarter 20
Name and Course #
Credits
Fall Quarter 20
Name and Course #
Credits
Total Credits:
Total Credits:
Winter Quarter 20
Name and Course #
Spring Quarter 20
Name and Course #
Credits
Total Credits:
Total Credits:
Summer Quarter 20
Name and Course #
Credits
Fall Quarter 20
Name and Course #
Credits
Total Credits:
Total Credits:
Winter Quarter 20
Name and Course #
Credits
Spring Quarter 20
Name and Course #
Credits
Total Credits:
Total Credits:
CERTIFICATION: Electronic signatures will not be accepted.
By signing this form, I agree to follow the curriculum outlined above. I am aware that to be considered for financial aid, I must
maintain Satisfactory Academic Progress by maintaining a cumulative 2.0 grade point average and successfully complete 2/3 or
67% of all attempted coursework, and show progression towards my program completion. I understand that classes not required for
my program may jeopardize my financial aid eligibility. Failure to adhere to this proposed Financial Aid Plan of Study may result in
forfeiture of my
future financial aid
eligibility.
____________________________________________ ___________________________________________
Student Signature Email
Everett Community College does not discriminate based on, but not limited to, race, color, national origin, citizenship, ethnicity, language, culture,
age, sex, gender identity or expression, sexual orientation, pregnancy or parental status, marital status, actual or perceived disability, use of service
animal, economic status, military or veteran status, spirituality or religion, or genetic information.