WINTER 2013 SEMESTER

PROGRAM CHANGE REQUEST FORM

DEADLINE: THURSDAY, NOVEMBER 1, 2012

WE RECOMMEND THAT YOU SEE AN ACADEMIC ADVISOR BEFORE SUBMITTING A REQUEST.

To be considered for a Program Change for the coming semester, you must:

  • print and complete and signthe Program Change Request form found below
  • return the completed, signed form to the Admissions Office, H Building, by

THURSDAY, NOVEMBER 1, 2012 (Explorations students wanting Transition or Science Access students wanting regular Science in the Winter can delay their request until December 7th.)

DO NOT REAPPLY THROUGH SRAM FOR A PROGRAM CHANGE

WINTER 2013 OPEN PROGRAMS

Explorations-Transition (081.03) *

Explorations 7 (081.07) *

Health Science (200.B1) / Pure & Applied Science (200.B2)

Social Science (300.AA)

Social Science 3-Math (300.A3)

Commerce (300.AB)

Communications (500.AC)

Modern Languages (500.AD)

Music (501.A0/551.A0)

* If you are applying to the Explorations-Transition program, you must indicate on the form below, which program you want after completing Explorations. Speak to an Academic Advisor or Admissions Officer if you need to discuss your options.

If you are out-of-phase in a Technology and require a Winter semester grid, you may be eligible to request a transfer back to that Technology. Otherwise, technology transfers are possible for the Winter only in:

Building Systems Engineering Technology (221.C0)

Industrial Electronics (243.C0)

Computer Science Technology (420.A0)

If you are requesting a Science, Commerce or an available technology program, please submit your mid-term assessments to the Admissions office no later than November 1, 2012.

DECISIONS

Most decisions are made in early January, especially if courses relevant to the requested program are in progress.

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PROGRAM CHANGE REQUEST – WINTER 2013 SEMESTER

Deadline November 1, 2012

student number|__|__|__|__|__|__|__|

GRADUATED SECONDARY SCHOOL FROM: YOUTH SECTOR ______ADULT ED______OUT OF QUEBEC______

PERMANENT CODE (FOUND ON YOUR RELEVE DE NOTES):______

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__|__|__|__|__|__|__|__|__|__|__|

last namefirst name

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|__|__| |__|__|__| |__|__|__|__|

e-mail addresscell phone number

are you graduating this semester? |__| |__| Current program______

yes no

DATE: SIGNATURE:

REQUESTED PROGRAM

FIRST CHOICE:
______|__|__|__|__|__|
TITLE OF PROGRAM PROGRAM NUMBER / SECOND CHOICE: (especially if you are in explorations)
______|__|__|__|__|__|
TITLE OF PROGRAM PROGRAM NUMBER
FUTURE PROGRAM IF APPLYING TO EXPLORATIONS-TRANSITION:

do not write below – for office use only

NOTES: / PSC ______
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M ______/ Decision : ______Program: ______
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Comments: ______
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Date: ______Initials: ______
You will be notified of our decision through your Omnivox account under “Information and Messages Intended For You”.