Program Of Study Change Form

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PROGRAM OF STUDY CHANGE FORM
(Advisor, working with student, completes form, obtains student’s signature, signs form and
forwards to the Admissions and Advising Center.)
Name: ___________________________________
EMPL ID: _________________________________
Phone: ___________________________________
Effective Semester for Change: _______________
I wish to do the following: _____Change Program Plan
_____Add Additional Plan
ASSOCIATE OF APPLIED SCIENCE
CERTIFICATES
_____
203
Accounting
_____
141
Health Information Management
_____
242
Culinary Arts
_____
157-01
Practical Nursing
_____
981
Electronics and Computer Technology
_____
159-01
Surgical Technology
_____
146-01
General Studies – Emergency Medical Services
_____
156-01
General Studies – Nursing
CAREER STUDIES CERTIFICATES
_____
172-01
General Studies – Radiography
_____
221-298-55
Administrative Support
_____
109-01
General Studies – Sonography
_____
221-699-88
Central Services Technician
_____
299
Information Systems Technology
_____
221-732-07
Computer & Network Support Technologies
_____
212
Management
_____
221-917-01
Construction Management
_____
464
Police Science
_____
221-400-45
Criminal Justice
_____
221-732-09
Cybersecurity
ASSOCIATE OF SCIENCE
_____
221-636-05
Early Childhood Development: Infant/Toddler
_____
213
Business Administration
_____
221-636-06
Early Childhood Development: Pre-School
_____
246
Computer Science
_____
221-981-15
Electronics Technology
_____
625
Education
_____
221-146-03
Emergency Medical Services – Intermediate
_____
625-01
–
_____
221-146-05
Emergency Medical Services – Paramedic
Education
JMU RTEA Option
_____
831
Engineering
_____
221-212-10
Entrepreneurship
_____
699
General Studies
_____
221-514-35
Graphic Design
_____
880
Science
_____
221-990-50
Manufacturing Technology
_____
880-06
– Specialization in Biotechnology
_____
221-157-06
Nursing Assistant
Science
_____
221-152-10
Patient Admissions Coordinator
ASSOCIATE OF ARTS
_____
221-699-08
Pharmacy Technician
_____
529-01
Fine Arts: Music Specialization
_____
221-242-06
Professional Cooking
_____
529-02
Fine Arts: Theatre/Drama
_____
221-212-26
Retail Management
_____
529-03
Fine Arts: Art Specialization
_____
221-352-04
Web Technologies
_____
648
Liberal Arts
Student Signature: _____________________________
Date: _______________________________________
Advisor Signature: _____________________________
Date: _______________________________________
Additional Comments: ______________________________________________________________________________
OFFICE USE ONLY
Change Entered By: ____________________________
Date: _______________________________________
Rev. 5/16; Admissions and Advising Center

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