QC Hub
Dining Hall 128
65-30 Kissena Blvd.
Flushing, NY 11367
718-997-4400
qchub@qc.cuny.edu
DECLARATION OF MAJOR/MINOR FORM
Instructions and Notes:
This form is to be used by matriculated undergraduate students only. After completing all of the information requested below and obtaining
the appropriate departmental signatures, departments should submit completed forms electronically by emailing it to QCHub@qc.cuny.edu.
All submissions should be sent using the recipient’s QC email. Departments should provide a copy of the completed form to the student
before submitting it to the QC Hub.
Student Information
Last Name:
First Name:
CUNYfirst ID:
Phone Number:
Preferred Email Address:
Check here if you are a
Macaulay Honors Student
Note: ALL Secondary Education (7-12) majors require two faculty signaturesone from SEYS* and one from the subject department (Math,
Chemistry, etc.)
Student Signature
Date
For Office Use Only
Processed By:
CUNYfirst Input Date:
Comments:
Revised 05/2020
Major Dept. ____________________________________
Concentration (if applicable) _______________________
Department Signature ____________________________
*SEYS Signature ____________________________
Minor Dept. ____________________________________
Department Signature ____________________________
Major Dept. ____________________________________
Concentration (if applicable) _______________________
Department Signature ____________________________
*SEYS Signature ____________________________
Minor Dept. ____________________________________
Department Signature ____________________________
From Major/Concentration Dept. __________________________
To Major/Concentration Dept. __________________________
Department Signature ____________________________
*SEYS Signature ____________________________
From Minor Dept.________________________________
To Minor Dept.__________________________________
Department Signature ____________________________
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