Office of Enrollment Services, 4000 Lancaster Drive NE, Building 2, Room 200,Salem, OR
Mailing Address: PO Box 14007, Salem, OR 97309-7070
Phone: 503.399.5001 Email: firstname.lastname@example.org
Chemeketa Community College is an equal opportunity/affirmative action employer and educational institution. To request this publication in an alternative
format, please call 503.399.5192.
s:\registrar\forms\change of major and-or graduation catalog-draft.docx chemeketa.edu
Change of Major And/Or Graduation Catalog
1. To request a new major:
a. Identify the new major name, major code, degree type (and concentration if applicable) in the Active Majors List
i. Changing your major may impact your financial aid and/or veterans benefits.
b. Enter the new major information in the Major section
c. Regarding Limited Enrollment majors; you may use this form to declare your interest in a limited enrollment
program that you have not yet been accepted to. To do so request the appropriate general degree for your
major and enter the Concentration code for the program that you intend to apply for entry into (e.g. AAOT
degree with concentration 0007 if your intent is to enter the Nursing program).
i. Contact the department regarding application deadlines and procedures for full admission into their
ii. This form will not be used to place students directly in a Limited Enrollment major.
2. To change your catalog for graduation requirements:
a. Enter your current major information in the Major section.
b. Enter the Catalog Year under which you are requesting to graduate in the Graduation Catalog section.
i. It must be within the last 5 years and you must have attended within the last 5 years.
ii. You must not have had a break in enrollment of 2 or more years during the last 5 years.
3. Sign the form and submit it to Enrollment Services, Salem Campus, Building 2, Room 200 or your local outreach center.
a. Or scan and email the form to email@example.com.
Student ID (K#): Date: - -
Please Print Last, First, Middle
Street, City, State Zip
Phone Number with Area Code: C
ell Phone: __________________ Home Phone: __________________
Graduation requirements are based on a student’s catalog year. By default your catalog is set as the term you turn in this form to declare
your major. To track your progress in Chemeketa’s degree tracking tool it is important that you declare your major as soon as possible.
Chemeketa policy allows students that have attended within the last five years, and that have not had a break in enrollment of two years or
more during that time, to choose to graduate under any set of major requirements available within the last 5 years. You may in consultation
with your advisor you choose to graduate under a different catalog year than the default assigned to you using this form.
Effective Term For New Major: _____________________
(e.g. Winter 2015)
Major Title: _____________________ Major C
ode: _________ Degree/Certificate: _________
(e.g. General Studies) (e.g. 0044) (e.g. AGS)
Concentration (aka Limited Enrollment Program of Interest): ____________________________________
alog Year Requested: ______________________
Student Signature: __________________