West Kentucky Community and Technical College

MAJOR CHANGE FORM

(Please print) Date: __________________

Student’s Name _______________________________________________________________________

Last First MI

Student ID# or SS# ________________________

Choose Credential Type Choose an Area of Study

Associate in Arts

Associate in Fine Arts

Associate in Science

Associate in Applied Science * If changing to a selective admission program, verification of

Health Science Technology acceptance into the program will be confirmed with the Dean

Diploma prior to processing.

Certificate

_____________________________________________________

Student’s Signature

*Please Note:

Students should be advised that if they interrupt their continuous enrollment in a program and re-enroll after remaining out for at least one semester, it will be necessary to follow curriculum requirements in effect at the time of re-enrollment. It is the ultimate responsibility of the student to know curriculum requirements.