Fillable Program Change Form

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Program Change Form

On average this form takes 5 minutes to complete

The Program Change Form form is 1 page long and contains:

  • 1 signature
  • 4 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Indian Hills Community College

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This form can be completed through Adobe Acrobat and sent to the Admissions Office at:
Email: admissions
@indianhills.edu
Fax: (641) 683-4277
623 Indian Hills Drive, Ottumwa, IA 52501
Legal Name:
Last First MI
Indian Hills Student ID# Date of Birth:
(This form will NOT be processed without your student ID#)
Current Student Future Student
PROGRAM CHANGE
Current Program/Major Last Term Enrolled
Desired Program/Major Start Term
ADD PROGRAM/MAJOR
Program Start Term
CANCEL APPLICATION
Program Start Term
If you have/are registered for classes, YOU must drop your classes BEFORE we can close your program.
Degree Seeking Non Degree Seeking
Student Signature Date
INDIAN HILLS COMMUNITY COLLEGE
PROGRAM CHANGE FORM
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Program Change Form

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Completed 29 April 2020

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