Change in Status Form

Name*

First Last

Student ID or Last 4 SS#*

Email*

Phone*

Have you applied for, or are you receiving Financial Aid?*

Yes
No

Are you receiving Veteran Benefits?*

Yes
No

Add Dual Degree or Major*

*Program admission requirements must be fulfilled prior to approval of second degree as outlined in the college catalog.

Primary Degree	Secondary Degree	Semester

Remove Dual Degree or Major

Secondary Degree (to be removed)	Semester

Take a Course Outside of Major

I understand this course will not be covered under financial aid and that I am responsible for all tuition and fees.

Course Name	Major	Semester

Rescind Transfer Credit

I understand that I am requesting to repeat this course at my own expense. If I earn a lower grade or am unsuccessful, the repeated grade earned will remain. I will not be able to reapply transfer credit. I also understand that I will be responsible for all tuition and fees since Financial Aid will not be applied.

Course Name	Major	Semester

Repeat a Non-Failing Course

I understand that I may use Federal financial aid to retake a previously passed course during my studies at Trocaire College. The credits for the repeated course cannot be included in determining my full-time status for the purpose of awarding New York State TAP. I cannot use financial aid to retake the course a third time. The grade earned during the repeat is the grade that will be used to calculate my GPA.

Course Name	Major	Semester

Consent*

I hereby certify that by selecting the “I Accept” button, I am signing this request form electronically and that my electronic signature is the same as my handwritten signature. I acknowledge that I am giving permission to Trocaire College to process my request on this form.