Change of Program Form

No dashes or spaces. Your SID must be 9 digits long.

No dashes or parentheses

No dashes or parentheses

Select your new program you would like to request.

Please Select Quarter


Faculty/Advisor Filling Out Form on Behalf of Student

If you are a faculty member/advisor filling out the form on behalf of the student, please provide additional information. Otherwise, skip this section and submit your form. 

Please enter your LWTech email ONLY! We cannot send personal information to non-LWTech emails. DO NOT use all CAPS.