CHANGE OF HOME COLLEGE, EDUCATIONAL GOAL, AND
PROGRAM PLAN (MAJOR) PETITION
First Name Last Name
Student ID #
Date: Semester:
Phone Number
Birth Date
TO
SECTION 1: Request to Change Home College Destination
Your home college location is where you will receive most services including Financial Aid, Counseling,
Registration and Graduation Services, Assessment, Health Services,
EOP&S/CARE, Veteran’s Services.
You may attend classes’ at all nine LACCD colleges regardless of home college location.
If you are currently enrolled at a LACCD college, the home college change request will
take effect in the next term.
CHANGE HOME COLLEGE:
This form is to be used to request a Change in Home College, Educational Goal and/or Program Plan
(Major). This form must be signed by a counselor.
PLEASE COMPLETE ALL THREE SECTIONS BELOW.
SECTION 1: Request a Change of Home College within the Los Angeles Community College District.
SECTION 2: Request a Change of Program Plan at the new home college.
SECTION 3: Request a Change of Educational Goal at the new home college.
Code
Program Plan
Code Program Plan
FROM
SECTION 2: Change Program Plan (Major)
CHANGE PROGRAM PLAN FROM:
to:
SECTION 3: Educational Goal
PLEASE SELECT ONE EDUCATIONAL GOAL FROM THE LIST BELOW.
Student’s Signature Counselor’s Signature
College
Date
Financial Aid Eligible Goals:
Non Financial Aid Eligible Goals:
Obtain an associate degree and transfer to a
4-year institution
Transfer to a 4-year institution without an AA
degree
Obtain a 2-year associate degree without transfer
Earn a career technical certificate without transfer
Discover/formulate career interests, plans, goals
Prepare for a new career (acquire job skills)
Advance in current job/career (update job skills)
Maintain certificate or license
Educational Development
Improve basic skills
Complete credits for high school diploma or GED
Undecided on goal
To move from noncredit coursework to credit
coursework
4-year college student taking courses to meet
4-ye
ar college requirements
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