Program/Plan Change Request LFCC Admissions / Enrollment Services Office 173 Skirmisher Ln · Middletown, VA 22645

Fauquier: 540-351-1507 / Middletown: 540-868-7110 / Luray: 540-743-1260 Email: counseling@lfcc.edu

Revised 11/18/2019 - Blue Admissions / Enrollment Services Office 173 Skirmisher Lane

Middletown, VA 22645

Please meet with an Advisor to complete this form. Online students should contact the Advising Office at their location for advising and signature. Student ID# Date of Birth Name Last First Middle Former VCCS Email @email.vccs.edu Student’s Signature Date I voluntarily consent to the use of an electronic record of my LFCC student file. I acknowledge that, by logging into the MYLFCC system with my unique credentials and e-mailing from my @email.vccs.edu account to provide LFCC with this data, I have given my electronic signature which has the same legal and binding effect as a "wet" or handwritten signature. Check if applicable: ☐ Receiving veteran benefits ☐ Receiving financial aid Primary

Plan (Check one)

All Current Plans Code Keep/Remove

☐ ☐Keep ☐Remove

☐ ☐Keep ☐Remove

☐ ☐Keep ☐Remove

☐ ☐Keep ☐Remove

Request to add the following new plan(s): Code

☐

☐

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For Advising Office use only

Advisor change only Changing from non-curricular to curricular

☐ Student has previously submitted transcripts to LFCC. Approximate date of submission:

Requesting a catalog year change only for current plan(s) - Code(s):

Assigned Advisor:

Advisor Signature:

For Admissions / Enrollment Services Office use only

Electronic Signature Verified by Processed by Date Copy to Veteran Specialist Copy to Registrar Advisor Assigned

Rev. 03/09/2020 - BLUE

*Does not qualify for State & Federal Financial Aid until acceptance into this plan. **Does not qualify for State & Federal Financial Aid. Scholarships may be available.

Associate of Arts and Science Degrees (AA&S)

216 Business Administration

624 Education

697-02 General Studies: Human Services Specialization

650 Liberal Arts

650-02 Liberal Arts: Communication Specialization

650-04 Liberal Arts: Fine Arts Specialization

Associate of Science Degrees (AS)

880 Science

880-01 Science: Agricultural Science Specialization

880-02 Science: Engineering Specialization

880-05 Science: Forensic Science

Associate of Applied Science Degrees (AAS)

203 Accounting

968 General Engineering Technology (GET): Mech Engineering Tech

968-01 GET: Civil Engineering Technology Specialization

152 Health Information Management

Certificates

695 General Education**

285 Medical Billing/Coding

286 Medical Administrative Asst/Transcription/Scribe

Career Studies Certificates (CSC)

221-640-65 American Sign Language

221-246-00 Applied Computer Science

221-925-01 Basic Electronics Technician

221-941-04 Electrical Control Tech Intermediate

221-212-10 Entrepreneurship**

221-152-15 Healthcare Technology Specialist

221-152-02 Hospital Facility Coding

221-883-19 Industrial Design

221-285-93 Medical Office Administration

221-502-84 Nature & Outdoor Photography**

221-157-07 Patient Care Technician**

221-212-24 Small Business Management

Health Science Pathways (pending special admission)

190-12 Dental Hygiene* (Degree awarded by VWCC)

190-14 EMS* (AA degree)

221-146-01 Emergency Medical Technician* (EMT Basic)

190-20 Health Information Management*

190-21 Medical Laboratory Technology*

190-10 Nursing*

190-16 Phlebotomy*

190-18 Paramedic*

190-11 Practical Nursing*

190-19 Pre-Funeral Services* (Degree awarded by JTCC)

190-13 Surgical Technology*

Stackable Credentials

697 AA&S General Studies

CSC 221-460-05 Personal Training Group Exercise Leadership

697-01 AA&S General Studies: Administration of Justice Specialization

Cert 406 Administration of Justice

697-03 AA&S General Studies: Recreation & Outdoor Leadership Specialization

CSC 221-459-01 Recreation & Outdoor Leadership

880-03 AS Science: Health Professions

Cert 190 Health Science

CSC 221-190-01 Pre-Allied Health

880-04 AS Science: Computer Science Specialization

CSC 221-246-00 Applied Computer Science

CSC 221-246-01 Computer Science

345 AAS Cybersecurity

CSC 221-732-09 Cybersecurity

636 AAS Early Childhood Education

CSC 221-636-06 Early Childhood Education

968-04 AAS GET: Computer-Aided Drafting Specialization

CSC 221-729-09 Drafting

968-06 AAS GET: Industrial Electricity & Controls Technology Specialization

CSC 221-941-02 Basic Electrical Technician

968-07 AAS GET: Technical Operations Specialization

CSC 221-990-00 Industrial Maintenance Tech Basic

299 AAS Information Systems Technology (IST)

Choose one of the following CSC’s to stack:

CSC 221-732-00 Technology Essentials

CSC 221-732-09 Cybersecurity

CSC 221-732-08 Cybersecurity & Networking Foundations

CSC 221-299-11 Database Administration Specialist

CSC 221-732-04 Networking Specialist

CSC 221-299-01 Software Development

CSC 221-352-02 Web Design and Application

212 AAS Management

CSC 221-208-14 General Business

CSC 221-212-25 Supervision

260 AAS Paralegal Studies

Cert 261 Legal Administration