Document 11136538

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PathWays Plans
Change of Curriculum/PLAN Request
QCC Matriculated Students Only
Instructions: Please print. Complete both sides of this form. Must be signed by an Advisor and the Student then returned to
the Registrar (A-104) by the Deadline (See Academic Calendar for specific date).
CUNYFirst Empl. ID # – See your OneCard for this #
c c c cc c c c
Name (last, first, middle initial)
New Address? – Check Box £
Address (street, city, state, zip)
Telephone No.
I hereby request
a transfer from the ________________________________________________________________ curriculum to (CHECK ONE BELOW)
TRANSFER PROGRAMS
Associate in Science – A.S.
Associate in Arts – A.A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
QCC CODE
£ Liberal Arts and Science . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (LA)
Concentration Choices – Pick One: REQUIRED
£ Health & Behavior
£ Health Promotion and
Disease Prevention
£ International Studies
Sub Plan or Areas of Interest: OPTIONAL
£ Physics
£ Dentistry
£ Liberal Studies/
Pre-Clinical Nursing
£ Chiropractic
£ Medicine
£ Computer Science
£ Optometry
£ Nutrition
£ Geology
£ Veterinary Science
£ Personal Training
£ Mathematics
£ Speech Therapy
£ Education
£ Gender Studies
£ Liberal Arts and Sciences (Mathematics and Science) . . . . . . . . . . (LS)
£ Chemistry
£ Liberal Studies
£ Exercise Science
£ Dual/Joint A.S. QCC/B.S. (York College) in Biotechnology . . . . . (BY)
£ Biology
£ American Studies
£ English
Semester for change
£ Physical Education
£ Gallery and Museum Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (AM)
£ Psychology
£ Business Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (BT)
£ Sociology
£ Environmental Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (EH)
£ Urban Studies
£ Visual and Performing Arts – select one option: REQUIRED . . . (FA)
£ Art & Design
£ Art History
£ Dance
£ Dual/Joint A.A./B.A. Liberal Arts & Sciences and
Childhood Education (Grades 1-6) (A.A. Degree
Component of the QCC/Queens College Dual/
Joint Degree Program) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (LE)
£ Interdisciplinary
£ Music
£ Theater Arts
£ Engineering Science (Pre-Engineering) . . . . . . . . . . . . . . . . . . . . . . . (PE)
£ Health Sciences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (HS)
Areas of Interest: OPTIONAL
Sub Plan or Areas of Interest: OPTIONAL
£ Community Health Education- York £ Africana Studies
£ History
£ Dietetics, Foods and Nutrition- Lehman
£ Anthropology
£ Italian
£ Health Education and Promotion- Lehman
£ Art History/Studio Art
£ Latin America Area Studies
£ Health Services Administration- Lehman
£ Biology
£ Mathematics
£ Chemistry
£ Music
£ Medical Lab Sciences- Hunter
£ Economics
£ Physics
£ Literature
£ Sociology
£ French
£ Spanish
£ Geology/Geoscience
£ Urban Studies
£ German
£ Occupational Therapy- York
£ Physician Assistant Program- CUNY Med
£ Diagnostic Medical Sonography- SUNY DownState
£ Health and Nutrition Sciences- Brooklyn £ Health Sciences- Mercy
£ Dual/Joint Degree Program: A.S. in Accounting for Forensic Accounting
leading to the B.S. in Economics: Forensic Financial Analysis
(John Jay College of Criminal Justice) . . . . . . . . . . . . . . . . . . . . . . . (AF)
£ Dual/Joint Degree Program: A.S. in Criminal
Justice leading to the B.A. in Criminal Justice
(John Jay College of Criminal Justice) . . . . . . . . . . . . . . . . . . . . . . . (CJ)
£ Dual/Joint Degree Program: A.S. in Science for
Forensics leading to the B.S. in Forensic Science
(John Jay College of Criminal Justice) . . . . . . . . . . . . . . . . . . . . . . . . (SF)
Change of Curriculum/Plan Request
CAREER DEGREE PROGRAMS
Associate in Applied Science – A.A.S. . . . . . . . . . . . . . . .
CERTIFICATE PROGRAMS
QCC CODE
£ Accounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(BA)
£ Office Administration and Technology . . . . . . . . . . . . . . . . . . . . . (BS)
£ Business Management
(30-credit programs leading to a Certificate)
£ Computer Information Systems – select one option: . . . . . . . . (BD)
£ Computer Programming
£ Microcomputer Applications Software
Select one option: REQUIRED
£ Health Care Office Administration . . . . . . . . . . . . . . . . . . . . . . . . . . (BH)
£ Marketing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (BM)
£ Medical Office Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (MO)
£ Real Estate–Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (BL)
£ Office Administration Assistant. . . . . . . . . . . . . . . . . . . . . . . . . . (BW)
£ Computer Information Systems . . . . . . . . . . . . . . . . . . . . . . . . . . (DP)
Select one option: REQUIRED
£ Accounting Office
Select one option: REQUIRED
£ Corporate Office
£ Computer Programming
£ Education Office
£ Microcomputer Applications Software
£ Computer Engineering Technology . . . . . . . . . . . . . . . . . . . . . . . . (CT)
£ Computerized Architectural and Industrial Design . . . . . . . . . . (DD)
£ Health Care Office
£ New Media Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (EN)
£ Photography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (AP)
£ Digital Art and Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (DA)
£ Electronic Engineering Technology . . . . . . . . . . . . . . . . . . . . . . . . . (ET)
£ Massage Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (TM)
£ Mechanical Engineering Technology . . . . . . . . . . . . . . . . . . . . . . . (MT)
£ Medical Office Assistant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (MA)
£ Music Production . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ME)
£ Internet Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (EM)
£ Telecommunications Technology . . . . . . . . . . . . . . . . . . . . . . . . . . (TC)
Reason for Request
Signature of Counselor/Advisor Date
REMINDER: To be eligible for TAP each semester you must maintain at least 12 credits in your DECLARED curriculum/plan for that
semester. Check the QCC catalog to see if this Curriculum/Plan change will affect your TAP award.
Signature of Student ____________________________________________________________________________________ Date____________________________
625-13
I agree to make this curriculum/plan change for the semester indicted on this form and take responsibility for any possible changes
in my Financial Aid because of it.
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