Change of Major - (Workflow)

LAWSON STATE COMMUNITY COLLEGE CHANGE OF MAJOR REQUEST FORM

******Please Read Carefully before Proceeding*******

Please make sure that you check with the Student Financial Services office before changing majors. Such major changes may affect Scholarships as well as outside aid.

Name*

First Name

Last Name

Student ID# / A-Number (banner)*

Please enter your A-Number.

Email Address*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone*

Cell Phone*

Personal Email Address*

LSCC Email Address*

Are you receiving Veterans benefits?*

Yes No

Are you receiving an Academic or CTE Scholarship*

Yes No

Have you recently completed an Application for Graduation prior to major change request?*

Yes No

Note: Answer YES if submitted an Application for Graduation form is currently pending for current term.

Is this your first semester enrolled at Lawson?*

Yes No

Other:

Select the type of change from list below:*

Major & Award (This is changing from one program of study to another program of study) Example: NSG to RN Award Type (This is changing from one award type to another) Example: Short-Certificate to Long Certificate Catalog Year Change - Current

Note: Selecting to change your major automatically changes your award type. Only select Award type is major will not change.

Current Program of Study (enter what your major is now)

Current Program/Major*

Current Catalog*

2015 2018 2019 2020 2021 2022 Unsure of Catalog year

Major changes may result in updated catalog curriculum catalog at time of change.

Degree*

AA - Associate in Art (Transfer Program) AS - Associate in Science (Transfer Program) AAS - Associate in Applied Science ( Non-transferable) AOT - Associate in Occupational Technology ( Non-transferable) CER - Certificate - (Non transferable) STC - Short-Certificate (Non transferable) NCA - Non degree seeking Unsure of Award Type

If your planning to transfer, select the degree option of AA(Liberal Arts area) or AS (General Studies/Sciences area). Most health programs majors are listed as concentrations under General Sciences.

REQUESTED MAJOR/PROGRAM CHANGE - (New Major)

Remember that we have several program to select a major. Career Tech, Business, Transportation, Health Professions & College Transfer majors. All Health Professions programs such as (RN, LPN, DMS, DAT) and Specialty Transportation programs (GM, Toyota, Ford, Mercedes) require Departmental approval.

Term in which change should apply*

Fall Term Spring Term Summer Term Make change effective current term Make change effective next term

Note that changing your major during term may affect your scholarship or pell grant. *Only Select AOT degree option after satisfying requirements for Certificates

Select ONLY ONE of the New Program Majors below:*

Specialty programs requiire prior approval to change to those majors (RN, LPN, DMS, DAT, GM, Toyota, Ford, Mercedes)

Choose the Award type from below:*

Short-Certificate Long Certificate Associates Degree (AAS,AA, AS) *Associate in Occupational Technology (AOT) Select this only after you have completed or near completion of the Certificate

Note: All Transfer programs are Associate Degrees

STUDENT'S SIGNATURE

By submitting this form, I understand that change of majors for students on Academic and/or CTE scholarships may cause me to lose my scholarship. Check with Student Financial Services before submitting Major Changes.

Student Signature*

[clear]

Use your mouse or finger to draw your signature above or download AdobeSign.

Health Profession Approval

Health Professions: Approved/Denied*

Approved Denied

Comment

Transportation Division Approval

Transportation Division : Approved/Denied*

Approved Denied

Comment

Transportation Division Signature*

[clear]

Use your mouse or finger to draw your signature above

Registrar's Approval of AOT Degrees

Registrar's: Approved/Denied*

Approved Denied

Comment

Record's Office Approval/Denied

Record's Office: Approved/Denied*

Approved Denied

Comment