CHANGE / ADD OF PROGRAM AND ADVISOR
The change of program can be submitted during any registration.
TO BE COMPLETED BY STUDENT: (Please Print)
PO Box City State Zip Code
This change is requested to be effective with the
Spring Summer Fall Year:
THIS IS TO: ADD PROGRAM
A.A. A.S. A.A.S. Certificate Endorsement
**If your ADVISOR change. You need Former Advisor’s Signature and New Advisor’s Signature.
**If your ADVISOR do not change. She/He needs to sign as Former Advisor ONLY.
**Former Advisor Signature:
Dean of Academic Affairs Signature:
Registration Office Signature:
P.O. Box 749
Barrow, AK 99723
Phone: 907.852.1757 or 1763