Request For Change Of Program Type Form
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1Revised: June 4, 2015
REQUEST FOR CHANGE OF PROGRAM TYPE
Name: ____________________________________
Student ID: _________________________________________
Traditional Semester Program
Adult Baccalaureate Degree (ABD)
Current Undergraduate Program Type:
Major(s): ___________________________________________
I wish to change to the following program type:
Traditional Semester Program
Adult Baccalaureate Degree (ABD)
I request that this change be effective the beginning of the next semester (Cannot be current or past semester.):
Fall Semester
Spring Semester
Summer Semester
Year: _________________
Reason for change: _____________________________________________________________________________________
Change of Program Type Policies:
A change of program type can be made only if the student’s declared major is offered under both program types. The
following majors are currently offered under both program types: Business, Liberal Studies, and Psychology.
Tuition assessment is based on 50% or more of a student’s coursework being associated with a given program type. If a
student’s coursework is divided equally, then the type that has the higher tuition rate will be used.
I understand that this change is not retroactive and will not affect the current or past terms. I also understand that this
change will be permanent.
Student’s Signature: ______________________________________
Date: __________________
Approval Signatures:
Academic Advisor: ______________________________________________
Date: _______________________________
Financial Aid: __________________________________________________
Date: _______________________________
Student Accounts: ______________________________________________
Date: _______________________________
Registrar: _____________________________________________________
Date: _______________________________
Add Former Program Type
Change Program Type
Data Entry:
Update Degree and Major
Assign new advisor (If necessary.)
Effective Date (Based on semester indicated above.): ________________
Distribution: Student, Registrar, Student Accounts, Financial Aid, Academic Advisor
Student Resource Center, 3500 Mountain Blvd., Oakland CA 94619 • Phone: 510.436.1133 • Fax: 510.436.1199 • Email:
registrar@hnu.edu
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Parent category: Business