Fillable Guilford Technical Community College - Program Change Form

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Guilford Technical Community College - Program Change Form

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The Guilford Technical Community College - Program Change Form form is 1 page long and contains:

  • 1 signature
  • 2 check-boxes
  • 27 other fields

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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.
• Complete areas that only apply to you
• Remember to include level if changing or adding a program (degree, diploma, and certificate)
• Receive the signature of Student Success Center staff member, department chair or programdirector.
• If you receive financial aid, veteran benefits and/or F1 Visa get the signature of a representative in those areas.
• Note: 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, thisincludes scholarships ☐
I receive veteran benefits
Please select one or more:
A. Changing Catalog Year – If you plan to move your catalog year to the most recent catalog year but not change
your program, complete the section below.
Change Program Catalog Year from ______ to _______ Program Code: __________________________
B. Adding Program(s)
Program Code (e.g. A10100)
Program Title (e.g. Associate in Arts)
Type: Enter degree, diploma, or
certificate*
1.
2.
3.
*Note typical program length for full-time student: Degrees = 2 year, diplomas = 1 year, certificates = 9 months to 1
year.
C. Closing Program(s)
Program Code (e.g. A10100)
Program Title (e.g. Associate in Arts)
Type: Enter degree, diploma, or
certificate
1.
2.
3.
4.
Student Signature: ____________________________________________Date: ______________________
GTCC Staff Signatures on Back
click to sign
signature
click to edit
•
To be completed by Student Success Center Staff Member/Department Chair/Program Director
Please fill out one or more (be sure to use full program code e.g. A25100)
A.
Changing Catalog Year Only: New Catalog Year Program Code _ (Required)
B.
Adding Program (s):Program Code Catalog
(e.g. 2018-2019 or 2018) _
Program Code Catalog Program Code Catalog
C.
Closing Program (s): Program Code
Program Code Program Code Program Code
Requests to set the start term as the current semester must be supported by a financial aid signature below.
Note: Start Term is by default the upcoming semester in which the student is beginning the new program. For example, if the
request is made to begin a new program in February, the start term will be either summer or fall depending on when the
student plans to begin taking classes in the new program.
Requirements
Status: Check Yes or No
Screen Location
Notes: If selected yes, list what is
missing or what hold student has.
High School/GED
Transcript Needed?
☐ YES ☐ NO
IASU
College (s) Transcript Needed?
☐ YES ☐ NO IASU
Placement Test Needed?
☐ YES ☐ NO TSUM
Transcript Evaluation Needed?
☐ YES ☐ NO
EXTS
Any Holds?
☐
YES
☐
NO
PERC
Student Success Center Staff/Faculty Advisor/Dept. Chair/Program Director (Print Name):
Student Success Center Staff/Faculty Advisor/Dept. Chair/Program Director (Signature): Date:
To be completed by Financial Aid
Check here if new program(s) must begin in current term in order for student to receive financial aid.
Financial Aid Advisor Signature: Date:
To be completed by Veterans 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:
_ Start Term approved as current term Date: Processed By:
(must have financial aid checkbox and signature above)
02/11/19
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Guilford Technical Community College - Program Change Form

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Completed 3 May 2020

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