Union County College
Program Change Form
Student Instructions:
a. Print out form and complete the required information in ink and sign form.
b. All transactions on this form require meeting with an advisor for review, signature, and processing.
c. Course requirements are based upon the catalog year that the program is changed.
STUDENT INFORMATION
Name: ________________________________ Student ID#:________________________
Addres
s: _________________________________________________________________
STREET CITY STATE ZIP CODE
(REQUIRED FOR PROGRAM CHANGE ONLY)
PROGRAM CHANGE/CATALOG CHANGE
(BOTH REQUIRE ADVISOR SIGNATURE)
I. Most Recent Union County College Enrollment: Semester_____
_____ Catalog Year: ________
CURRENT MAJOR: REQUESTED MAJOR:
Program/Major: Program/Major:
Code: Code:
Effe
ctive Term:
II. Change of Catalog Year: From To
ADVI
SOR’S PRINTED NAME ADVISOR’S SIGNATURE
DATE:
** THE FOLLOWING PROGRAMS REQUIRE ADDITIONAL ADMISSIONS REQUIREMENTS: MDMS,
MHBN, MHBT, MNMT, MRAT, MRAY, PHTA, UDEA, UDHY, UPRT and UREC and cannot be changed by
advisor.
Pro
cessed By: ___________________ Date: ________________
Advising Services, 2016SP
click to sign
signature
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click to sign
signature
click to edit
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