Request for Dual Degree
Please Print:
Name _________________________________________________CCM ID ________________________
Policy regarding Dual Degrees – To earn a dual degree, one program is selected as the primary degree with the
other as the secondary degree. All requirements for both degrees must be completed with at least a 2.00 gpa.
Comparable courses from the primary degree may be used to meet the requirements of the secondary degree, but
a minimum of 21 separate, additional CCM credits must be earned in the secondary degree. Since all requirements
for both degrees must be met, more than 21 credits may be necessary in cases where the two degrees do not have
common, shared courses. A student will not be permitted to apply for a dual degree in Nursing and Allied Health.
Current Semester (please check one) Fall Spring Winter Summer Current Year _________
Primary Degree – Major ____________________________________________
Division Dean Signature/Date____________________________________________________________
Department Chair Signature/Date ________________________________________________________
Secondary Degree – Curriculum __________________________________________
Division Dean Signature/Date____________________________________________________________
Department Chair Signature/Date ________________________________________________________
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
** This form must be returned to Records and Registration Office for processing**
Student Signature/Date _________________________________________________________________
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Records and Registration
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
Associate Registrar Signature/Date____________________________________________________
Student Deans Dept. Chairs
REG 10/15
