11/21/17
www.southeasterntech.edu
__________________________________________________________________________________________
SWAINSBORO • 346 Kite Road • Swainsboro, Georgia 30401 • Phone (478) 289-2200 • Fax: (478) 289-2263
VIDALIA • 3001 East First Street • Vidalia, Georgia 30474 • Phone (912) 538-3100 • Fax (912) 538-3156
Southeastern Technical College is an Equal Opportunity Institution
CHANGE OF PROGRAM FORM
Student Name: _________________________________ Date: _______________________
Address: _________________________________________________________________________
City: __________________________ State: ___________ Zip Code: _________________________
Email Address:____________________________________________________________________
Student ID #: __________________________ CAMPUS: Swainsboro ____Vidalia ____
Cell Phone #:__________________________ Home Phone #:_____________________________
Current Program of Study _______________________________
(Degree___Diploma___Certificate___)
New Program of Study __________________________________
(Degree___Diploma____Certificate____)
Entry Semester: Fall___Spring___Summer___ Year:___________________
Have you lived in Georgia for 12 consecutive months prior to today’s date? Yes___No___
I understand when changing my Program of Study, Financial Aid eligibility could change. I need to contact
the Financial Aid office for more information.
Are you switching from a Certificate/Diploma program to a Degree program? Yes___No___
(If yes, please complete the “Evaluation for Hope Scholarship” portion of this form
to ensure your financial aid is processed correctly.)
Student Signature: ______________________________ Date: ________________
Admissions Office Use Only
(Basic Core Courses Needed)
None____ENGL 0090____READ 0090____MATH 0090_____MATH 0098_____
_________________________________ ________________
Director of Enrollment Services Date
