233 Glenbrook Road, U-4077 Storrs, CT 06269-4077 Phone: 860-486-3331 Fax: 860-486-0062 Email: [email protected]

OFFICE OF THE REGISTRAR

Campus Change Form (Return to the Registrar’s Office at your current campus) Student Name Student ID:

and/or NetID:

Address: Phone: School / College:

Major:

From:

Campus

To:

Campus

Effective for Year:

Fall

Spring

For students who want to come to Storrs Contact the Student Services Office at your campus to find out when the next campus change informational session is scheduled. Refer to the requirements (catalog.uconn.edu/academic-regulations) to see if you are eligible. If you are requesting housing, you must apply online (reslife.uconn.edu) and pay the fees.

1.

Are you requesting a residence hall assignment? Yes

No

2.

Total number of credits earned at the end of the current semester: _______

3.

Will you be taking summer courses to fulfill requirements for Storrs? Yes

No

If Yes how many credits? _______ No

4.

Students from Storrs: Do you currently have a dorm assignment? Yes

5.

A change of campus may affect your fee bill and thus may affect your financial aid. You may wish to check with Financial Aid before proceeding with your request.

6.

When you arrive at your new campus, please contact your major department (Storrs) or the Student Services Office (regional) to get an advisor assignment.

7.

If you have any other questions, contact the appropriate office: Bursar (860) 486-4830, Financial Aid (860) 486-2819, Registrar (860) 486-3331, Residential Life (860) 486-2926

Student Signature:

Date:

Authorizing Signature:

Date:

APPROVED

DENIED

For Office Use Only: Student Plan

Student Attributes

List

Date

Student Attributes

(remove) List

Date

Cancellation: Student Plan

registrar.uconn.edu

Campus Change.pdf

Page 1 of 1. OFFICE OF THE REGISTRAR. 233 Glenbrook Road, U-4077. Storrs, CT 06269-4077. Phone: 860-486-3331 Fax: 860-486-0062.

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