INSTRUCTIONS:
1. Students declaring or changing their major must complete this form.
2. Changes of Major into programs that have a separate admissions process require a signed acceptance letter.
3. A Change of Major may affect your eligibility for Financial Aid (including student loans) and may affect
your completion date.
ID #:__________________________
Name
(Please Print):___________________________________________________________________________
Address: ___________________________________________________________________________________
City:_______________________________________ State:_____________________Zip:__________________
Phone Number:______________________________ Email: _________________________________________
Degree Certificate Catalog
Current Major:_____________________________________________
New Major:_______________________________________________
*
Dual Major:______________________________________________
*Note: Fill in this blank only when you are declaring two majors.
Have your ever received a degree/certificate from SCCC?
Yes No
If yes, Major:______________________________________________________ Year:____________________
Student Signature:__________________________________________________ Date:____________________
OFFICE USE ONLY
Program Enrollment Input Date:_______________________________________ Staff Initials:_____________
OFFICE OF THE REGISTRAR
(973) 300-2216 • sussex.edu One College Hill Road Newton, NJ 07860
DECLARATION/CHANGE OF MAJOR
Rev. 11/10/14
Last Name First Name Middle Initial
Counselor/Advisor Signature:__________________________________________Date: ___________________
Financial Aid Signature:_______________________________________________Date:___________________
The following signatures are required:
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome