Office Use Only:
Staff Initials _______
DEGREE TO NON-DEGREE SEEKING CHANGE FORM
I decided to become a “non-certificate or non-degree seeking student.” In doing so, I realize that:
I am not required to meet with an advisor and am responsible for choosing my own courses.
If I choose to apply for a certificate or degree at a later date, I must meet all degree requirements. I
realize that an appeals process is not available should I choose courses which do not fit these
requirements.
I am not eligible for the federal financial aid program (FAFSA).
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Print Name Signature
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COCC ID Date
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Term
How to submit this form:
- Visit any COCC campus and submit the completed form to Enrollment Services.
- Email the completed form to welcome@cocc.edu from your COCC email account.
- Fax to Enrollment Services at 541-318-3700.
- Mail the completed form to:
Central Oregon Community College
Admissions & Records
2600 NW College Way
Bend, OR 97701
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