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.