As set forth in full in the Student Handbook/Course Catalog, Southern Crescent Technical College is an Equal
Opportunity Institution and does not discriminate on the basis of race, color, national origin, sex, age or disability.
Revision Date: 09/01/2018
PROGRAM CHANGE REQUEST
Student Information
Name
: Student ID:
Phone Number
E-mail:
Term
Eff
ective:
Stud
ent
Sign
at
u
re:
D
ate:
List CUR
REN
T
Program:
Current Award Level: (Select One) Certificate Diploma Degree
List
NE
W
Program:
New Award Level: (Select One) Certificate Diploma Degree
Type of Change: (Select One)
Change to NEW program
Change to DUAL program (CURRENT + NEW)
Note: For Change Type DUAL, the NEW program must be the same Award Level as CURRENT program.
Financial Aid / V.A. Coordinator Signature
Please Be Advised:
Students receiving financial aid require a signature from Financial Aid
Students receiving Veteran’s benefits require a signature from the V.A. Coordinator
Finan
c
ial Aid Signa
t
u
re
:
V.A. Coordin
at
o
r
Sign
at
u
re
:
Admissions Use Only
STATUS: Regular Provisional Special Admit
Evalu
ate
d b
y
: D
ate:
En
tere
d b
y
: D
ate
:
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome