For Office Use only

ACCEPTED BY: ___________________

DATE: _________________________

FOOTHILL and DE ANZA COLLEGES

ADMISSIONS AND RECORDS

CHANGE OF MAJOR FORM

NAME: __________________________________________________________________
LAST

FIRST

MIDDLE

STUDENT ID: ________________________________

TELEPHONE: _________________________________
EMAIL ADDRESS: ________________________________________________________
OLD MAJOR: _________________________________________
NEW MAJOR: _________________________________________

___________________________________________________________________________________________
Student Signature
Date(mm/dd/yyyy)
Return signed form to Admissions and Records.