MAJOR CHANGE REQUEST
Return this completed form to the Admissions and Records Office, or scan and email from
your Gadsden State email account to records@gadsdenstate.edu.
Student Name: ______________________________________ Student ID (A#): __________________
Email: _______________________________________________Phone Number: __________________
Current Major/Program of Study: _________________________________________________________
See the College catalog for a list of degrees and majors.*
*Please note that all major changes will be effective for the following semester unless specifically requested to be
changed to the current semester due to Financial Aid eligibility reasons.
New Degree: ☐ A.S. Degree ☐ A.A.S. Degree ☐ Certificate ☐ Short Term Certificate
New Major/Program of Study: __________________________________________________________
New Concentration (for General Studies only): ____________________________________________
Are you receiving financial aid?
☐ Yes ☐ No
**P
lease note that classes taken outside of your program of study/major may not be covered by financial aid.
Ha
ve you applied for Graduation?
☐ Yes ☐ No If yes, what term? _______________________
Student’s Signature***_________________________________ Date: ___________________________
***By signing, I acknowledge and understand that by changing my program of study, my academic catalog term
will be changed and will make me subject to graduation requirements based on the current Gadsden State
Community College Catalog.
Separate acceptance is required for the following programs and must be approved with the
Program Director’s Signature:
Registered Nursing
Diagnostic Medical Sonography
Emergency Medical Services
Medical Laboratory Technology
Radiologic Technology
Pr
ogram Director______________________________________ Date: ___________________________
Admissions & Records Office | P.O. Box 227 Gadsden, AL 35902-0227 | (256) 549-8210 | records@gadsdenstate.edu
Rev. 9/20
Processed by: ________________________________________ Date: _____________________
g a d s d e n s t a t e
c o m m u n i t y c o l l e g e
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signature
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