CECH Confirmation Form (Internal Only)

Confirmation Form for Change in College and Program to:

The College of Education, Criminal Justice and Human Services

Congratulations on your admission to your new program/college. Please use the form below to confirm or decline your admission.

Please note: You may be subject to changes to your billing and fees, scholarship/financial aid eligibility, cohort status, and more. Be sure to check with your academic advisor and/or financial aid before submitting this form.

First Name:

Middle Initial:

Last Name:

UC Student ID (M#) - no dashes, please:

Always include the M at the beginning.

Birthdate:

Phone Number:

UC Email:

All official university communication (including application updates / admission notifications) are sent to UC Email Account.

Address:

City:

State:

Zip Code

County

New UC College:

Major / Program (as appears on your admissions letter / e-mail)

Term

Year

Please indicate your decision: (Only select one)

I confirm my admission into the program listed in the e-mail I recieved

I am declining my offer of admission into the program listed in the e-mail I recieved

Student E-Signature: