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ADMISSIONS OFFICE CHANGE OF MAJOR REQUEST

To be completed by students applying into any program listed
or by students who have not taken credit classes at NCC.

Social Security #     Student ID:        

First Name:  Middle Initial:   Last Name:

Home Phone #:       Birth date:

Permanent Address: (Enter street address)

                        City:     State:     ZipCode:  

                        County:

Applying for consideration for which semester:       Year:

Please list all colleges/universities you have attended:  

 


Major you want to be considered for (please check one):

            Culinary Arts (apply by February 1 for summer (May) and fall (August) and by October 1 for spring (January))
                                

            Dental Hygiene (fall start only; February 1 application deadline)

            Diagnostic Medical Sonography
                               

            Funeral Services (fall start only; February 1 application deadline)

            Massage Therapy
                   
(fall start only; February 1 preferred application deadlines)

            Medical Assistant
                   
(fall start only; February 1 preferred application deadlines)

            Nursing (RN) (fall (Feb 1 deadline) and spring (Sep 15 deadline) start)
                                Select Day or Evening.  If LPN, select Advanced Placement & Day or Evening.
                                (Hold down the ctrl key to select multiple options)

                                Select Campus.
                               

            Nursing (PN) (fall start only; February 1 application deadline)
                                Select Campus.
                               

            Radiography (fall start only; February 1 application deadline)

            Sports Medicine and Rehabilitation Sciences (fall start only; February 1 application deadline)

            Veterinary Technician (fall start only; February 1 application deadline)

Other programs with limited enrollment, preferred admission deadlines or special entrance requirements:
            Automotive Technology
                 

            Early Childhood Educ.
                Concentration:

            Media Production

            Other Academic Program
                 Please Indicate:           

By clicking YES, I certify that all information stated above is my valid, personal information and that I wish to change my major at Northampton Community College.

    Yes   No