Admissions and Records Office
Major/Goal Change
**PLEASE PRINT CLEARLY**
STUDENT INFORMATION
Name: ________________________________________________________________ Student ID: __________________
Semester:
Summer Fall Spring Year: ______________ Phone: (_____) _______________
I understand that major changes made after the start of the current term will go into effect for the following term. If I choose to have a major change
backdated to be effective for the current term, I acknowledge this change could impact my eligibility or participation in programs and services, including
financial aid. I have been advised to discuss my major change questions with my counselor and/or program/service offices before I make a change to my
major.
Major: ____________________________________________________________ Major Code: ____________________
Educational Goal - Please select one of the following.
A: Transfer to 4-year after AA/AS Degree
B: Transfer to 4-year without AA/AS Degree E: Earn a Vocational Certificate
C: Earn AA/AS Degree without transfer Other: ____________________________________
**Please see A&R staff for complete list
Updated Requirement Term:
STUDENT SIGNATURE: DATE:
Admissions Office Use Only:
Received By: ________________ Date: ____________ Processed By: ____________________