Fillable PROGRAM / PLAN / ADVISOR CHANGE REQUEST (Southwest Virginia Community College)

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PROGRAM / PLAN / ADVISOR CHANGE REQUEST (Southwest Virginia Community College)

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Southwest Virginia Community College
(EOE/AA) Admissions Office
PO Box 1101, Richlands, VA 24641
PH: 276.964.7238 FAX: 276.963.3450
Download to computer/phone, complet
e & email to admissions@sw.edu from STUDENT EMAIL ONLY
PROGRAM / PLAN / ADVISOR CHANGE REQUEST
Please print information below:
Name: _____________________________________________________________________
Last Name First Name Middle
Emplid or SSN: ___________________________ Phone No: _________________________
High School: _______________________Year Graduated: __________ GED: __________
Effective Term of Change: ____Fall ___Spring ___Summer 20_____
Current Plan(s) New Plan(s)
1.
1.
2.
2.
________________________________ ________________
Signature Date
NOTE: If you are interested in Nursing (RN), Occupational Therapy, Practical Nursing or Radiography you must complete
a separate Allied Health Care Application. Applications are available in the Admissions Office or online at https://sw.edu/
health-technology. Email admissions@sw.edu with questions about completing this form.
Admissions Office Use Only
Plan Code(s)
Advisor(s)
Processed (staff/date)
Revised 3/19/20
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PROGRAM PLAN ADVISOR CHANGE REQUEST (Southwest Virginia Community College)

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Completed 27 July 2020

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