Columbia State Community College CHANGE OF MAJOR You may fax this form to 931-560-4125 OR
Enrollment Services Scan and email form to firstname.lastname@example.org
FOR THOSE SEEKING A TECHNICAL CERTIFICATE OR
NOT WISHING TO DECLARE A MAJOR AT THIS TIME
WARNING-In order to be eligible for Tennessee Lottery (Hope) Scholarship you must be seeking an Associate’s degree. If you are
receiving this scholarship and wish to declare a “double major” (both your current degree and this new certificate) please check
this box _____ .
 Students should consult with an Academic Advisor before completing this form!
2] If you have already filed an “Intent to Graduate” or “Request for Technical Certificate”, and need to change your program for graduation, please email
the records office. Do NOT submit this form to change your graduation information!
 Majors are changed for currently enrolled students submitting this form on or before the last day of finals for the current term.
Forms submitted for a term
that has ended must be approved by Financial Aid and Records
. For applicants, the change of major will apply to your admissions application term.
4] Student’s Name ______________________________________________________________________________________________________________
Student’s ID Number ________________________________________Student’s Phone Number__(_____)______________________________________
 Indicate your new major by completing ONLY ONE of the sections below. DO NOT COMPLETE MULTIPLE SECTIONS or form cannot be processed.
Student signature (required for processing) ____________________________________________________________ Date _______________________
Columbia State Community College – TECHNICAL CERTIFICATE PROGRAMS
___ ACCELERATED Advanced Emergency Med Tech (1 semester)
__ Advanced Emergency Medical Technician (1 semester) ___ Emergency Medical Technician (1 semester)
__ Business ___ Engineering Systems Technology
_ Computed Tomography ___ Film Crew Technology
_ Computer Networking ___ Fire Science
___ EMT-Paramedic (1 year) ___ Hospitality and Tourism Management
__ Web Design Mobile Technologies
ON-DEGREE: NO MAJOR (This category is not eligible for financial aid, VA benefits, or athletic eligibility)
Non-degree (not working towards a degree or certificate)
___ Transient student (attending Columbia State for one semester then returning to my current college)
OFFICE USE ONLY FOR PROCESSORS: Intent: NA Review ___ (give form to Records if “Review” is circled)
s the student currently a DEGREE major and checked the box above that they are receiving TN Hope? Y N (give form to Records if “Y” is circled)
Once form can be processed then continue below
NA Review ___
(give copy to Financial Aid if “Review” is circled)
Changing FROM degree TO NONE/Cert? Y N (give copy to Financial Aid if “Y” is circled)
If changing FROM NONE: Placement need? Y N ● Documents? NA HS Coll ACT Other__ ● Admit Type____ Student Type____
ate changes made _______ Initials ______ ● DATE SENT TO DIVISION: ________
ACADEMIC DIVISION USE ONLY: New Advisor _________________________________ Date Assigned ___________________ Initials ________