Program of Study Declaration Form

IMPORTANT: Major change can affect student's expected graduation date. The decision to change major should be made responsibly.

Your name Your name * First Last
Your LCC email *
Year status *
CURRENT Major *
Department Chair's email (CURRENT Major) *
Find faculty emails in LCC Directory
NEW Major *
Department Chair's email (NEW Major) *
Name (acts as your digital signature) Name (acts as your digital signature) * First Last
Date Date * / MM / DD YYYY