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
![]()
