Registrar: Change of Program – SUNY Polytechnic Institute Forms

Personal Information

First Name (Required) *

Last Name (Required) *

SUNY Poly ID Number (U#) (Required) *

SUNY Poly Email (Required) *

Permanent Address (Required) *

Are you an ACE student?

Yes
No

Complete the appropriate section(s) below based on your current academic level and request(s). Submission of this form implies that you approve of the requested change(s). Once submitted, the form will be routed to the Program Coordinator for approval. The Registrar’s Office will notify you if the Change of Program has been approved or denied.

UNDERGRADUATE STUDENT

Change of Major (Required) *

Yes
No

Change of Major From:

Change of Major To:

Add/Remove a Second Major (Required): *

Yes
No

Requested Action

Second Major

Enter the name of the second major you are adding or removing. If changing from one to another, be sure to indicate the program you are changing to and from.

Add/Remove a Minor (Required) *

Yes
No

Requested Action

Minor

Enter the name of the minor you are adding or removing. If changing from one to another, be sure to indicate the program you are changing to and from.

Add/Remove a Concentration *

Yes
No

Requested Action

Concentration

Enter the name of the concentration you are adding or removing.

GRADUATE STUDENT

Change of Major (Required) *

Yes
No

Change of Major From:

Change of Major To:

Add/Remove a Second Degree (Required) *

Yes
No

Requested Change

2nd Degree

Enter the name of the 2nd degree you are adding or removing

Add/Remove a Concentration (MBA Students Only) (Required) *

Yes
No

Requested Change

Concentration

Enter the name of the concentration you are adding or removing. If changing from one to another, be sure to indicate the program you are changing to and from.

Affirmation of Identity (Required) *

I affirm that I am the student listed on this form.