Spring Summer Fall Year: _____
CHANGE OF MAJOR FORM
INSTRUCTIONS
1. Complete ALL informaon requested below.
2. Return completed form with ALL signatures to the One Stop.
CHANGE OF MAJOR: This form CANNOT BE USED for the following selecve programs: Automove, Motorcycle,
Nursing, Surgical Technology, Veterinary Technology or Welding. A new applicaon must be submied for these
programs.
Students can change into the following criteria programs with the understanding that addional admissions re-
quirements may need to be met: Advance Composite Manufacturing, Biotechnology Cercates, Computer Numer-
ic Control, Digital Design & Animaon, Linux, Medical Oce Administraon, Nondestrucve Tesng, Programming,
Soware Development, Veterinary Pracce Management.
NAME: STUDENT ID#
A
Date of Birth: Phone Number:
Current Program: ___________________________________________ Degree Cercate
Desired Program: ___________________________________________ Degree Cercate
By my signature below, I understand that:
1. The appropriate college ocials will review this request for possible approval.
2. Courses previously taken at GBCC may not transfer to my program.
3. Courses previously transferred to GBCC may not transfer to my program.
4. Change of majors approved aer the Add/Drop period of the semester are eecve the next semester.
Student Signature: ________________________________________________________ Date: _______________________
Desired Program Advisor Signature: __________________________________________ Date:________________________
*Advisor: If you are signing for a criteria program (as listed above), please check revise side to ensure that the student has met the
admissions requirements .
Admissions Office Approval Signature: ________________________________________Date: ________________________
ADMISSIONS: Processed by: __________ Date: ______________ Eecve Term: ____________
REGISTRAR: Curricula Catalog Term: _________ Transfer Credit Review: NO YES - Review Date: __________
Academic Standing Reviewed by: __________ Date: _____________ Eecve Term: ______________
Comments: __________________________________________________________________________
Portsmouth Campus
320 Corporate Drive, Portsmouth, NH 03801
Phone: (603) 427-7610|Fax: (603) 334-6308
Rochester Campus
5 M
ilton Rd, Unit 32, Rochester, NH 03867
Phone: (603) 427-7700|Fax: (603) 330-3001
The Community College System of New Hampshire (CCSNH) uses electronic signatures and records in place of traditional ones whenever possible. You will conduct business electronically using a computer with a supported operating system and internet browser, sufficient
electronic storage capacity, a printer and your official CCSNH email account. By logging into CCSNH systems, including but not limited to Banner, SIS and Canvas, you are opting to conduct electronic transactions with the Community College System and consenting to receive
written notices electronically, including those involving financial obligations, and you are acknowledging that CCSNH can use electronic mechanisms alone to convey critical information related to your admission, financial aid, payment plan, student account, transcript
information, registration and other activities and accounts you may undertake or have as a student at CCSNH. You have a right to request a paper copy of an electronic record. You may withdraw your consent at any time by contacting Student Services. If you decide to withdraw
your consent, however, you may be prevented from registering for classes.
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