OFFICE OF THE REGISTRAR ASSUMPTION COLLEGE

500 Salisbury Street Worcester, MA 01609-1296

DECLARATION or CHANGE OF MAJOR

STUDENT’S NAME:________________________________________________________________________

(PLEASE PRINT)

ID #: _____________________CLASS OF:___________CAMPUS BOX NO:__________

I WOULD LIKE TO DECLARE MY MAJOR IN:________________________________________________

OR

I WOULD LIKE TO CHANGE MY MAJOR FROM _____________________________________

TO _____________________________________

_______________________________________________ __________________________

DEPARTMENT CHAIRPERSON’S SIGNATURE DATE

PLEASE RETURN THE COMPLETED FORM TO THE REGISTRAR’S OFFICE