Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Central Connecticut State University

Office of the Registrar


Name: __________________________________________
Last

First

CCSU ID Number: ________________

Middle

Address: _______________________________________

Semester: _______________________

Street and Number

_______________________________________
City

State

Todays Date:

___________________

Zip

Change of Status Form


Type of Change (check one)
[ ]

[ ]

Full Time
Undergraduate Full Time: 12 credits minimum
Graduate Full time: 9 credits minimum
Part Time
Undergraduate Part Time: 11 credits maximum
Graduate Part Time: 8 credits maximum
Note: FT students changing to PT status at the beginning of a term and who had intended
to obtain the University-billed Sickness Insurance will instead need to contact and pay
directly to the Chickering Group at 877-375-4244 or go online to www.chickering.com for
Sickness Insurance available to Part Time students.
If changing status to Part Time requires dropping a course, please indicate course here:
CRN:
Course Number:
CRN:
Course Number:

Please note that changing your status may affect the following:
If you have Financial Aid, your aid may be affected.
Satisfactory Academic Progress for federal, state or institutional financial aid. Please refer to the Catalog.
If you live in a University Residence Hall, contact Residence Life, Barrows Hall 120 (860-832-1660).
If you receive Veterans Benefits, your benefits may be affected.
Student Athletes must remain Full Time in order to maintain eligibility.
Full Time International Students changing to Part Time status should discuss the change with the Immigration
Specialist of the Center For International Education.

_____________________________

__________________________

Students Signature

Date

_____________________________

__________________________

Registrar

Date

Important Deadlines:
The deadline to change status from Part Time to Full Time is the end of the Add/Drop Period.
The deadline to change status from Full Time to Part Time is the end of the third week of the semester.
Please complete this form and return to Office of the Registrar for approval:
Office of the Registrar, Davidson Hall, Room 116, 1615 Stanley Street, New Britain, CT 06050.

Rev 12/14

You might also like