STUDENT INFO
Student Name
LAST FIRST M FORMER
Student ID
Semester: Fall Spring Summer
Check one:
Credit to Audit* Audit to Credit
Student’s Signature Date
NOTE: The deadline for credit/audit change is the same as the due date for mid-semester grades. (Refer to the Academic Calendar for the actual date.)
Return the completed form, including the instructor’s signature, to the Registrar’s Ofce on the rst oor of the Field Administration Center, Room 111.
*Financial aid recipients are strongly advised to contact the Financial Aid Ofce prior to changing from credit to audit as this change may have an effect on
the amount of aid awarded.
Change of Credit/Audit
OFFICE OF THE REGISTRAR (Please type or print)
Berkshire Community College ▪ 1350 West Street, Pittseld, MA 01201 ▪ www.berkshirecc.edu ▪ 413-499-4660 
Revised 4/10/2020
Course Code Secon Instructors Signature
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signature
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