I
GTCC PROGRAM CHANGE FORM
Mail: Guilford Technical Community College, PO Box 309, Jamestown, NC 27282 Fax: 336-819-2045
Directions: Complete all required parts and get required signatures.
If you are in a limited enrollment program (Health Program, EMS, Cosmetology, Aviation, Paralegal Certificate) you do
not complete this form.
Receive the signature of Student Success Center staff member, department chair or program director.
If you receive financial aid, veteran benefits and/or F1 Visa get the signature of a representative in those areas.
When you complete a program change you are moved to the most recent catalog year.
Advisor assignments are done monthly at the end of each month. If you have completed a program change it will be
based on the primary program.
To be
completed
by the Student
Student Id Number
Name:
(Last) (First) (Middle)
Check all that apply:
I receive financial aid, this includes scholarships
I receive veteran benefits
Please select one or more:
Adding Program(s) New Programs will use the current catalog
Program Code
(e.g. A10100)
Program Title
(e.g. Associate in Arts)
Type
Primary Program
(Select only one)
Make Active
*Note typical program length for full time student: Degrees = 2 year, diplomas = 1 year, and certificates = 9 months to 1 year.
If you are changing a program between semesters, it will become active in the next semester.
Closing Program(s)
Program Code (e.g. A10100)
Program Title (e.g. Associate in Arts)
Type
Student Signature: Date:
Staff Signatures on back
Current Semester
Current Semester
Current Semester
Degree
Degree
Degree
To be completed by Student Success Center Staff or Faculty Advisor
Student Success Center Staff/Faculty Advisor (Print Name):
Student has selected only one Primary Program
Student Success Center Staff/Faculty Advisor (Signature): Date:
To be completed by Financial Aid
Financial Aid Advisor Signature: Date:
To be completed by Veteran Office
Veteran Representative Signature: Date:
To be completed for F1 Visa” Students
International Advisor Signature: Date:
To be completed by Processing
_ Program Code Changed Date: Processed By:
12/3/19