MARYMOUNT MANHATTAN COLLEGE PROGRAM CHANGE

[Subject to Tuition Liability and Program Change Processing Fee]

PC FORM
Name __senzon_________________spencer__________________douglas_____________________ MMC Student #: __1233504__
Last First Middle

YEAR: ____2021_______ [ ] Fall [ ] January [ x ] Spring [ ] Summer I [ ] Summer II

Student Acknowledgement Statement:

I understand that my financial aid for this or future semesters may be affected by a reduction of my original credit hours.

__________________________________2/9/21_______
STUDENT’S SIGNATURE / DATE

TOTAL NUMBER OF CREDITS BEFORE MAKING THE CHANGE = 17

(Special Courses: Internship Placeholder – Enter Course # INT 999 01 / Independent Study Placeholder – Enter Course # ISD 999 01 / Research Placeholder – Enter RES 999 01/
Professional Immersion Placeholder - Enter Course # PI 996 01 – Note: Students are required to submit their completed contracts by the end of the add period)

DEPT COURSE# SECTIO TITLE CREDIT Days Hours Lab/Rec/Fee Comments(Conflict/OT-

N s Div/Dept Approvals)
1. ADD
+
+
+
2. DROP

MAT 129 01 Intermediate Algebra -3 tuesday 5:50-

H 8pm
-
-
TOTAL NUMBER OF CREDITS AFTER MAKING THIS CHANGE = ___14______

____________________________________________ _______________________________________2/9/21_______
ADVISOR’S SIGNATURE /Date STUDENT’S SIGNATURE / DATE

_________________________________ ________
CSS Representative Date