Program Change/Add Form

Students shall use this form to add or change their academic program.

Enter your Student ID#(Required)

Date

Name(Required)

First Middle Last

Cell Phone(Required)

Home Phone

I am currently enrolled in the following program(Required)

Degree or Certificate?(Required)

I would like to(Required)

I wish to change/add this program(Required)

Any program not listed here has additional admissions requirements. Please visit our website www.rivervalley.edu/welcome to apply.

By my signature below, I understand that: 1. This request will be reviewed by the appropriate College officials; it is not a guarantee of acceptance. 2. I will not be withdrawn from a program until I am matriculated into another (above listed) program. 2. Courses previously taken at RVCC may not transfer to my new program. 3. Courses previously transferred to RVCC may not transfer to my new program.

Name of Current Academic Advisor

Student Signature(Required)

Date(Required)

Program Change/Add Form

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