Records Office ♦ 3835 Green Pond Road ♦ Bethlehem, PA 18020 ♦ Fax: 610-861-5551


Student ID# or last 4-digits of Social Security #:
Home Phone #:       Birth date:

First Name:     Middle Initial:         Last Name:

Address:     City:     State:     ZipCode:

Current Major:       New Requested Major:

*Please Note:
The following programs have special entrance requirements, are programs with limited enrollment or preferred admission deadlines.  For consideration, complete the Admission Office Change of Major Request and return to the Admissions Office.

Automotive Technology, Culinary Arts, Dental Hygiene, Diagnostic Medical Sonography, Early Childhood Education, Funeral Services, Medical Assisting, Nursing (RN and LPN), Radio/TV, Radiography, Sport Medicine and Rehabilitation Sciences, Massage Therapy, Veterinary Technician

Change to be effective:       Year:

Are you currently enrolled at NCC?   If you are not currently enrolled, you must complete a Re_Admit Form.

Are you currently receiving or applying for financial aid from NCC?

You must follow the major requirements as listed in the current college catalog at the time of your major change.  Please see an advisor if you have any questions about program requirements.

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