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Registrar’sOffice
115SouthSt
Middletown,NY10940
Telephone:8453414140
Fax:8453428662
CatalogTerm
ChangeRequest
Students should use this form if they wish to change their catalog term from the
term which they entered the college as a degree seeking student or were readmitted
to the college to the current catalog term.
Students may only change from their catalog term to a more recent catalog. By
changing catalogs, a student is responsible for fulfilling all of the graduation
requirements in the new catalog. Students may change catalog term one time only.
Student Name:
Student ID: A
Current Catalog Term:
New Catalog Term:
I understand that if I request to change my catalog term I cannot request to change
it back to my original catalog term.
Student Signature: _______________________________ Date: ___________
Advisor Signature: _______________________________ Date: ___________
FOROFFICEUSEONLY
Enteredby:____________
Date:___________________
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signature
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