Fillable CHANGE OF PROGRAM/MULTI-MAJOR REQUEST

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CHANGE OF PROGRAM/MULTI-MAJOR REQUEST

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The CHANGE OF PROGRAM/MULTI-MAJOR REQUEST form is 1 page long and contains:

  • 3 signatures
  • 24 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

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CHANGE OF PROGRAM/MULTI-MAJOR REQUEST
NAME:
STUDENT ID :
A
CONTACT INFORMATION:
Street or PO Box:
Primary Phone:
City, State, Zip:
Student Email:
❑ I request a CHANGE OF PROGRAM for the following semester:
Fall Spring Summer Year ________
Current Program Major:
❑ Degree
❑ Certificate
Desired Program Major:
❑ Degree
❑ Certificate
❑ I request to enroll in a MULTI-MAJOR for the following semester:
Fall Spring Summer Year ________
❑ Degree
❑ Certificate
❑ Degree
❑ Certificate
Admissions Office
Registrar’s Office
Accept Decline Residency: NH NERSP Out of State
Distribution: Current Department Head
Comments: __________________________________________________
New Department Head
Signature: ________________________________ Date: ______________
Signature:_____________________________
Date Posted SAAADMS: ________________ SHATRNS: ______________
Date Posted SGASTDN:__________________
A currently enrolled student may use this form to:
• request a Change of Program (i.e., to change from one program of study into a
new program of study); or
• enroll in a Multi-Major (i.e., remain in their current program of study and
enroll in a second major at the same time).
Student Signature:________________________________________________________
Date:_____________
By signing below, I understand that:
1. Completing and submitting this request does not guarantee or imply acceptance into that program.
2. Courses previously taken at or transferred to NHTI may not transfer to my new program.
3. Requests for a change of program for the current semester that are submitted after the official add/drop period may
take effect the next semester.
4. It is my responsibility to review any Specific Admission Requirements for my desired major and to submit all
appropriate documents required for admission.
5. Financial aid eligibility and VA Education Benefits may change based on my new program and it is my
responsibility to follow up with the appropriate office regarding how a change in enrollment status may impact my
aid and/or benefits.
PLEASE PRINT – Complete all information requested below and submit to the Admissions Office.
❑ PLEASE RE-EVALUATE TRANSFER CREDITS FOR MY NEW MAJOR
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CHANGE OF PROGRAMMULTI-MAJOR REQUEST

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Completed 11 August 2021

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