Dual Enrollment Change of Major Form

Dual Enrollment Change of Major Form
Important Information:
- If you have not been enrolled in classes in more than one semester you MUST complete a new application.
- Changing your major can affect your Admissions Status
- Changing your major can affect your Dual Enrollment Funding
- Program can not be changed once the term begins
Please allow 3 business days for processing.
Date: *

Month Day Year
Date
Full Student Name: *

First Name Last Name
Student ID Number: *
Phone Number: *
Please enter a valid phone number.
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
WGTC Email: *
example@student.westgatech.edu
Desired Effective Term: *
Current Program: *
New Program of Interest: *
Level of completion: *

Degree Diploma Certificate Courses Only
Campus *
By checking the boxes below, you agree to the following: (To Submit this form, you MUST agree to all)
This form cannot be used in place of an application for admission. In the event that you need to apply or re-apply, you will be notified via email that your program change form will not be processed and you must submit an application for admission. *

Acknowledged
Changing your program may result in additional coursework, testing requirements, admissions documents. *

Acknowledged
Changing your program may result in changes to your financial aid eligibility if you are receiving HOPE funds. *

Acknowledged
Changing your program will result in your current curriculum being deleted or changed to meet current catalog requirements. *

Acknowledged
My electronic signature on this form acknowledges that I have read and understand the effects of submitting this request on my program, courses, and financial aid.
Signature *

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