New Submission

Last Name*

First Name*

Student ID*

Must be 7 digits. Example 0123456.

College Email*

example@mycod.us

Choose Associate Degree Program

NOTE: If you Choose a Nursing Degree, you are required to provide proof that you have been accepted in the Nursing Program.

OR

Choose Certificate Program

I Agree*

I have been advised to meet with a Counselor when choosing a major.

Informed Goals*

DECLARE/CHANGE MAJOR FORM