Fillable STUDENT REQUEST FOR A CHANGE/ADD OF ACADEMIC PLAN/PROGRAM (Miami Dade College)

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STUDENT REQUEST FOR A CHANGE/ADD OF ACADEMIC PLAN/PROGRAM (Miami Dade College)

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  • 12 check-boxes
  • 22 other fields

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STUDENT REQUEST FOR A CHANGE/ADD OF ACADEMIC PLAN/PROGRAM
Effective March 2020
READ THE IMPORTANT NOTES ON THIS PAGE
BEFORE COMPLETING THE FORM ON THE SECOND PAGE
Students who complete and submit this form for processing are requesting to change their currently declared Academic Plan
(i.e., psychology, business) and/or Academic Program (i.e., non-degree to Associate, or a to College Credit Certificate) to a
different Academic Plan/Program. Students must complete the required information on this form and electronically sign and
date it. The form must be emailed with all required information to the Advisement Office at their respective campus:
• North – Anorth@mdc.edu
• Kendall – kadvise@mdc.edu
• Wolfson – Wadvisement@mdc.edu
• Medical – Madvisement@mdc.edu
• Homestead – hadvisement@mdc.edu
• Padron – PAdvisement@mdc.edu
• Hialeah – hiadvisement@mdc.edu
• West – Westadvisement@mdc.edu
IMPORTANT INFORMATION:
1. Students receiving--or planning to receive--Federal Financial Aid (Pell Grant, Loans, Work Study):
Important to check with a Financial Aid Advisor before completing and submitting this form.
Changing the Academic Plan/Program may affect eligibility to receive Federal Financial Aid.
Once students graduate, their Academic Plan/Program changes to “ND-Student has a Degree” and are not
eligible to receive financial aid.
After graduation from MDC, if students plan to continue enrollment and pursue an additional Academic
Plan/Program at MDC, it is their responsibility to request that their Academic Plan/Program is changed.
2. Students who require approval prior to requesting a change of academic program/plan are:
a. International Students (students who hold a F1 Visa)
° International Students must contact their ISS Advisor/Coordinator in the International Student Services
Department.
b. Students who are receiving VA Educational benefits
° Students receiving VA Educational benefits should contact the VA representative prior to changing their
Academic Plan/Program and must notify the Office of Veteran and Military Services by email at
veterans@mdc.edu.
3. Students who wish to change their type of program from College Credit to Vocational Credit or vice versa.
a. Associate or College Credit students who want to change their type of program to Vocational Credit must complete
the “Application for Vocational Credit Courses and Programs” form, accessible online at
http://www.mdc.edu/admissions/.
b. Vocational Credit students who want to change their type of program to College Credit must complete the
“Application for Admission or Readmission to College Credit Courses and Programs” form, accessible online at
http://www.mdc.edu/admissions/.
4. Students who wish to have their external (transfer) credits re-evaluated should check the box indicating completion of
external credits. The Advisement and Career Services Department will forward your request to the Transcripts Evaluation
Office. It is important to note that doing so may impact the applicable credit hours applied toward the new academic
pathway.
5. Students admitted into a select program such as those in the medical field must have their home campus changed to
where the program is based.
NOTE: Students who wish to apply for MDC’s Bachelor’s Degree Programs must apply online by selecting
Apply for a Bachelor’s Program at http://www.mdc.edu/admissions/
.
STUDENT REQUEST FOR A CHANGE/ADD OF ACADEMIC PLAN/PROGRAM
PLEASE CHECK WITH YOUR FINANCIAL AID ADVISOR BEFORE SUBMITTING THIS FORM.
Allow up to two (2) weeks for processing the change/add of Academic Plan/Program
First Name:
Last Name:
Student ID #:
Phone #:
E-mail Address:
What term are you requesting the change for?
ARE YOU CURRENTLY ENROLLED IN CLASSES?
YES
NO
ARE YOU RECEIVING VETERAN’S EDUCATIONAL BENEFITS?
YES
NO
ARE YOU AN INTERNATIONAL STUDENT?
YES
NO
DO YOU HAVE EXTERNAL (TRANSFER) CREDITS?
YES
NO
Transfer credits could be applicable towards completion of your new
academic plan/program. If you indicate that you have transfer credits,
your transcripts will be reviewed again by Transcript Evaluation.
REQUEST TO CHANGE YOUR ACADEMIC PLAN
For
a list of available Academic Plans, click here.
Name of Plan (ex.: Accounting)
5-Digit Plan Code
CURRENT Academic Plan:
NEW Academic Plan:
REQUEST TO CHANGE/ADD YOUR ACADEMIC PROGRAM
(Complete this section to change/add your Academic Program. Example: changing from Non-Degree to an AA)
5-Digit Plan
Code
Select ONE Only
CURRENT Academic Program:
NEW Academic Program:
Change Addition
If you are changing your Academic Program to an AA, you are required to declare a transfer institution and transfer
program of study. List your desired transfer institution and transfer program of study in the box below.
Transfer Institution Transfer Program of Study
, understand the purpose of this form is to authorize MDC’s Advisement & Career Services
personnel to change my Academic Plan/Program. I also understand that this change may affect my eligibility to receive
financial aid, may cause my financial aid award to be removed and result in a financial obligation.
I, ______________________
Student’s Signature:
Date:
Advisor’s Name/Signature : Date:
Submit completed form in person to your advisor or the Advisement and Career Services department at your campus.
FOR OFFICE USE ONLY
Date:Processed by: ______________________________________ ____________________
No Yes _Forward to Transcripts Evaluation Office? ___ __
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STUDENT REQUEST FOR A CHANGEADD OF ACADEMIC PLANPROGRAM (Miami Dade College)

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Completed 29 July 2020

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