Change of Campus

By submitting this form, you understand that this request may impact the cost of the program.

ID Number

Name

Date

Email Address

Phone Number

Current Campus

Desired Campus

Degree Program

What is the reason(s) for changing campuses?

When would you like this change to take effect?

Student Status: 

Signature of Student

(By entering my name into the box below, I understand that it is treated in all respects as having the same force and effect as original signatures.)