Martin Community College
Registrar’s Office Use Only
Processed by: _________ Date Changed: __________
THIS FORM MUST BE FILLED OUT COMPLETELY
BEFORE IT CAN BE PROCESSED.
REQUEST FOR CHANGE OF MAJOR OR ADDITIONAL MAJOR
COMPLETE STEPS 1 & 2 IN FULL BEFORE RETURNING TO THE REGISTRARS OFFICE BLDG. 1, RM 36-A
STEP 1:
Name:
ID Number:
Address:
City:
State:
Zip Code:
E-Mail:
Telephone Number:
*Please see the back of this form for a list of majors and codes
Current Major:
Program Title
Program Code (Required)
**Select either Change of Major or Additional Major**
Change Major to:
Program Title
Program Code (Required)
Add Major:
Program Title
Program Code (Required)
Change Major:
Program Title
Program Code (Required)
Effective Semester:
Fall
Spring
Summer
Year:
Up to 10% of the semester, effective current
semester
After 10% effective following semester.
STEP 2:
Student’s Signature:
Date:
(Required)
Current Advisor Signature
Date:
(Required)
New Advisor Signature:
Date:
(Required)
STEP 3:
Are you a high school student? Yes No If yes, what school do you attend?
Signature of High School Principal or Designee
Date
MCC Approval for High School Students Change or Additional
Date