Fillable Form 1.: STUDENT REQUEST to DECLARE, CHANGE or

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Form 1.: STUDENT REQUEST to DECLARE, CHANGE or

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STUDENT REQUEST to DECLARE, CHANGE or ADD a MAJOR
RECORDS OFFICE
COMPLETE STEPS 1 – 4 BELOW
STEP 1 - FILL IN THE INFORMATION BELOW
VETERAN? _______ Yes _______ No
STUDENT I.D. #: @_____________________________________ DATE OF BIRTH___________________________
NAME: __________________________________________________________________________________________________
LAST FIRST MI
TELEPHONE NUMBER: (_______) ____________________E-MAIL ADDRESS: _______________________________________
STEP 2 – CHOOSE ONE I am DECLARING____ CHANGING____ *ADDING____ a major. (*Adding a 3
RD
degree
requires approval from the Provost and Academic Dean.)
*Provost and Academic Dean’s Authorization (if required for 3
rd
degree) ______________________________________________________________
SELECT A MAJOR AND CODE FROM THE BACK OF THIS PAGE AFTER TALKING WITH AN ADVISOR/COUNSELOR.
MAJOR SELECTED: ___________________________________________________________ MAJOR CODE: ____________________
Or □ I WANT MY MAJOR TO BE ONE OF THE FOLLOWING. CIRCLE YOUR SELECTION.
* HONORS PROGRAM
* LEGAL ASSISTANT
* MEDICAL ASSISTANT
* MEDICAL OFFICE MGMT
* NURSING
* PHYSICAL THERAPIST ASST
* RESPIRATORY CARE
STEP 3 - Continuing Students: If you are declaring a major for the first time, you must provide the records office with proof of high
school graduation or G.E.D. and proof of immunization (if not previously submitted) in order for your major to be declared.
New Students: Provide the admissions office with proof of high school graduation or G.E.D. and proof of immunization.
Returning Students: If you are returning to the college after a two year absence, go to the Admissions Office for readmission.
□ ATTACHED IS PROOF OF HIGH SCHOOL GRADUATION or G.E.D. and/or PROOF OF IMMUNIZATION. I AM DECLARING A
MAJOR FOR THE FIRST TIME – This proof is required for first-time declarations of majors if not previously submitted.
STEP 4 - Return the form: New and Readmit students–Admissions Office (E106) / Continuing students–Records Office (E102)
STUDENT SIGNATURE ____________________________________________________ DATE _________________
These are selective admission programs. Students can request
these majors, but must talk with an Admissions Counselor about
requirements for admission. Admission to these programs
requires authorization (see below). Please see an Admissions
Counselor (Room E106) for details.
FOR OFFICE USE ONLY – Please check appropriate boxes below to verify compliance:
D1 COURSE HISTORY / CURRENT CREDIT PRIORITY 1 STATUS CHECKED – READMISSION NOT REQUIRED ______________
IMMUNIZATION COMPLIANCE REQUIRED – GOAIMMU VERIFIED _____________
IF CURRENTLY NON-DEGREE (DZ99), PROOF OF HIGH SCHOOL COMPLETION OR G.E.D. IS REQUIRED – SOAHSCH VERIFIED _____________
IF A STUDENT IS CHANGING A PREVIOUS MAJOR, PROOF OF HIGH SCHOOL IS NOT REQUIRED – SGASTDN OR SFAREGS CURRICULA VERIFIED ___________
VETERAN - COPY TO CHRIS DECEW __________________
KEYED IN BY__________________ DATE _______________________
**To declare or change a major to the Accounting ((DJ05), Art-Graphic Design (DJ83) or Legal Assistant (DJ88) Certificate programs,
a student must already have an Associate’s or Bachelor’s degree.** DEGREE DETAIL VERIFIED IN SOAPCOL ____________
Rev. 8/18
Notes to Student:
Norwalk Community College
1.
CHANGE EFFECTIVE for Fall 2020
(Major updated starting April 1, 2020)
According to Connecticut State law, proof of immunization for measles,
mumps, rubella, and varicella is required in order to be in a degree or
certificate program or to be enrolled as a full-time student (12 credits or
more). You can check your immunization status at the Records Office or
at the Admissions Office if you are new to NCC this semester.
2. *Proof of high school graduation or G.E.D. completion is required if
you are declaring a major for the first time.
3. If you have been away from the College for 4 or more consecutive
semesters (excluding Summer or Winter sessions), you must apply for
readmission at the Admissions Office prior to requesting a change of
major.
FOR SELECTIVE ADMISSION PROGRAM COORDINATOR USE ONLY:
________THIS STUDENT IS ELIGIBLE TO ENROLL IN THE SELECTIVE ADMISSION MAJOR LISTED ABOVE.
________ HOLD FOR CONSIDERATION DATE _____________________________________________________________
COORDINATOR'S NAME AND SIGNATURE_____________________________________________________________________________________________
* VETERINARY TECHNOLOGY
** Please submit completed form to
wlongo@norwalk.edu **
Major Codes – Degree and Certicate Programs
Please use the appropriate code below to designate your choice of major on the college application.
Use Major Code: DZ99 if you are not pursuing a degree or certicate at this time. Use Major Code: DA01 if you are in the High School Partnership program.
Major Major Code
Allied Health
Medical Oce Management - Administrative* DA10
Medical Oce Management - Clinical* DA11
Nursing* DF30
Physical Therapist Assistant* DB94
Respiratory Care* DB77
Art, Architecture & Design
Architectural Engineering Technology DA22
Construction Technology DA98
Design for the Web DA02
Fine Arts DB42
Graphic Design DA45
Interior Design DA05
Studio Art DB40
Business
Accounting - Career DA07
Accounting - Transfer DA09
Business Administration DA67
Finance DA13
Management DA15
Marketing DA14
Legal Assistant* DB53
Communication Arts
Journalism DB89
Media Studies DB91
Film & Television Production DB90
Computer Science
Computer Science DA12
Web Development DA16
Major Major Code
DB06
DB11
DB93
DB35
Education & Social Science
Cr
iminal Justice
Early Childhood Education - Career
Exercise Science
Human Services - Career
Human Services - Transfer
DB36
Engineering
Engineering S
cience DB14
Technological Studies DF11
General Studies DB31
Honors Program* DB33
Hospitality Management
Culinary Arts Option DA60
Hotel Option DA58
Restaurant Option DA59
Liberal Arts & Sciences
Liberal Arts Transfer DB54
Mathematics & Science DB46
Psychology DB00
Teaching Career Pathway DB10
Veterinary Technology DA06
Major Major Code
Allied Health
Health Careers Pathways** DK55
Medical Assistant* DJ70
Medical Oce Specialist DJ09
Art, Architecture & Design
Graphic Design
#
DJ83
Business
Accounting
#
DJ05
Culinary Arts DJ77
Legal Assistant*
#
DJ88
Communication Arts
Digital Journalism DJ07
Film & Television Production DJ08
Computer Science
Networking DK05
Relational Database DK02
Smartphone App Development DJ06
Web Developer DK06
Early Childhood Education
Administrative Option DJ50
Education Option DJ89
Infant/Toddler DJ79
Engneering DJ81
Computer Aided Design DJ23
English as a Second Language DJ81
* Selective Admissions Program with limited enrollment. Consult the college catalog for specic admission requirements and deadlines.
** Can only be added as a second major; rst major must be General Studies.
#
Open only to students who have an Associate or Bachelor’s degree.
ASSOCIATE DEGREE PROGRAMS
CERTIFICATE PROGRAMS
Major Major Code
Degree Program Code
CSCU Pathway Transfer Degree: Art Studies DG21
CSCU Pathway Transfer Degree: Biology Studies DG01
CSCU Pathway Transfer Degree: Business Studies (Finance, Management and Marketing) DG12
CSCU Pathway Transfer Degree: Chemistry Studies DG02
CSCU Pathway Transfer Degree: Communication Studies DG03
CSCU Pathway Transfer Degree: Criminology Studies DG04
CSCU Pathway Transfer Degree: Early Childhood TC Studies DG14
CSCU Pathway Transfer Degree: English Studies DG05
CSCU Pathway Transfer Degree: Exercise Science Studies DG15
CSCU Pathway Transfer Degree: French Studies DG16
CSCU Pathway Transfer Degree: German Studies DG17
CSCU Pathway Transfer Degree: History Studies DG06
CSCU Pathway Transfer Degree: Italian Studies DG18
CSCU Pathway Transfer Degree: Mathematics Studies DG07
CSCU Pathway Transfer Degree: Physics Studies DG19
CSCU Pathway Transfer Degree: Political Science Studies DG08
CSCU Pathway Transfer Degree: Psychology Studies DG09
CSCU Pathway Transfer Degree: Social Work Studies DG10
CSCU Pathway Transfer Degree: Sociology Studies DG11
CSCU Pathway Transfer Degree: Spanish Studies DG20
PATHWAY TRANSFER DEGREE PROGRAMS
Major Codes – Pathway Transfer Degree Programs
CSCU Transfer Tickets
Degree programs that transfer seamlessly
between CSCU institutions
The Connecticut State Colleges and Universities (CSCU)
system has developed Transfer Tickets to provide pathways
to a four-year degree. Transfer Tickets are degree programs for
Connecticut community college students that easily transfer
to Connecticut State Universities and Charter Oak State College.
Upon graduation from NCC, students are guaranteed
full junior status at a four-year instituion that is part of the
CSCU system. They can complete a bachelor’s degree in their
major with the assurance they will not lose any credits or be
required to take any extra credits. (Select programs may have
additional admission requirements.)
Students choose a transfer degree program just as they
would a major eld for an associate degree, but take only the
courses that apply to both the major’s associate degree and its
bachelor’s degree.
Transfer Tickets are
available in the following
majors, and new ones will
be added each year: Art,
Biology, Business Studies,
Chemistry, Communication,
Criminology, Early Child-
hood TC, English, Exercise
Science, French, German,
History, Italian, Mathematics,
Physics, Political Science, Psychology, Social Work, Sociology
and Spanish.
To learn more about CSCU’s Transfer Tickets, visit
www.ct.edu/transfer. An interactive guidance system will
walk you through the program.
To register for a specic Pathway Transfer degree program,
please use the Banner Program Codes listed below. Students
should contact their advisor for information regarding transfer
credits in specic programs.
www.ct.edu/transfer
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Form 1.: STUDENT REQUEST to DECLARE, CHANGE or

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Completed 25 July 2020

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