Fillable Plan of Study Change Form (Eastern Shore Community College)

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Plan of Study Change Form (Eastern Shore Community College)

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Country of origin: US
File type: PDF

U.S.A. forms for Eastern Shore Community College

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Revised August 2020
Plan of Study Change Form
Name:Click or tap here to enter text. Emplid #:Click or tap here to enter text.
Current Plan of Study:
Click or tap here to enter text.
Semester Request: ☐Fall ☐Spring ☐Summer Year:Click or tap here to enter text.
*Please ONLY check one box
Signature: Click or tap here to enter text. Date: Click or tap to enter a date.
Plan # Associate of Arts and Sciences Check Plan # Associate of Arts and Sciences Check
216 Business Administration
☐
650-12 Liberal Arts-Education
☐
697 General Studies
☐
881 Science
☐
650 Liberal Arts
☐
Plan #
Associate of Applied Science
Check
Plan #
Associate of Applied Science
Check
636
Early Childhood Education
☐
Pre-Nursing
☐
981
Electronics Technology
☐
Technical Studies-Industrial Tech
☐
981-01
Electronics Computer Tech
Specialization
☐
718-01 Technical Studies-Electricity
☐
212 Management
☐
718-02 Technical Studies-HVAC
☐
212-01 Business Management/IT
☐
718-03 Technical Studies-Welding
☐
Plan # Certificate
Check
Plan # Certificate
Check
925
Electronics Technology
☐
Practical Nursing (LPN)
☐
990
Industrial Technology
☐
Welding
☐
166 Medical Assisting
☐
Plan # Career Studies Certificate
Check
Plan # Career Studies Certificate
Check
221-636-
06
Early Childhood Educ, Preschool
(CDA equiv)
☐
Industrial Technology
☐
221-636-
08
Early Childhood Educ Support
Specialist
☐
Nurse Aide
☐
221-941-
01
Electricity, Electrician Helper
☐
Nurse Aide Extended Care
☐
221-941-
02
Electricity, Electrician Assistant
☐
Medical Administrative Office
Spec
☐
221-981-
15
Electronics Technology
☐
Medical Coding and Billing
☐
221-203-
10
HVAC, Technician Helper
☐
Small Business Management
☐
221-203-
12
HVAC, Technician Assistant
☐
Welding
☐
Records Office Use only:
P
rocessed by: ________________
Date Processed by: ___________
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Plan of Study Change Form (Eastern Shore Community College)

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Completed 4 February 2021

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