Request Change of Status
Before completing this form, review Program Requirements and course in the Pathways College Catalog. The Pathways College Catalog can be found on the website
pathwayscollege.org
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Email address
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Your email
First and Last Name
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Your answer
Date of Request
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Phone Number
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Your answer
Reason for change of student status:
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Academic Load
Personal
Medical/Health
Financial
Expulsion
Academic deficiencies
Schedule conflict
Transferring major
Program does not fit needs
Military Deployment
Other
I am requesting to withdrawal from the following program:
Bachelor of Arts in Business Administration
Bachelor of Arts in Liberal Studies
Clear selection
I am requesting to enroll in the following program:
Bachelor of Arts in Business Administration
Bachelor of Arts in Liberal Studies
Clear selection
Please give a short explanation for why you are submitting this request.
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Your answer
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Signature: ________________________________________
Date:_________________________
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