Program of Study Change Request

Program of Study Change Request

Complete this form to begin the process of changing your Program of Study.
Student Name*

First NameMiddle NameLast Name
Mid Michigan College Student ID Number*
You can find your Student ID Number on your Mid Michigan College Student ID Card or in your Self-Service Account.
Birth Date*

MonthDayYear
MidMich Email*
example@midmich.edu
Current Program of Study*
Are you removing this program of study?*

YesNo
Be aware that there are limitations to the number of active programs of study that you may have at one time. Connect with Mid's Registration & Records team or your Mid Mentor if you have questions.
Ending Semester*
2021WI, 2021SU, 2021FA, 2022WI, etc.
College Catalog Year
This is likely the year you began this Program of Study at Mid Michigan College, but if you aren't sure please leave this field blank.
Requested New Program of Study*
Starting Semester*
2021WI, 2021SU, 2021FA, 2022WI, etc.
College Catalog Year
This is likely a year within the seven year window since your first semester or the year you will begin this Program of Study at Mid Michigan College, but if you aren't sure please leave this field blank.
Signature*

Clear
Date*

MonthDayYear
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