Program Change Form

* = required field

Some content may be updated based on selection

Program Change Form

Personal Data:

Last Name:

First Name:

MI:

Date of Birth:

SSN#/DMACC ID#:

Does your contact information need updated?

Change/Addition of Program:

Click here to view: Programs by Campus

Current Program:

Campus:

Degree:

New Program:

Campus:

Degree:

Starting Term:

If you are changing your program to Liberal Arts AA or AS, please select one of these pathways:

Area of Concentration:
(Check this box if you are adding a concentration to your Program)

Note: When your major is changed you are obligated for the current catalog requirements in effect for the current year. Please contact an advisor for additional assistance.

All specific program requirements must be met prior to being admitted to certain programs

Do you wish to withdraw your previous program?

By checking this box. I verify my identity and give DMACC permission to modify my academic record.

Additional Comments:

Today's Date:

Note: Incorrect identification information will result in the termination of this process.

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