Occupational Therapy Change of Major Form

Instructions

Complete this form, print it, sign it, and return it to the Records Office in Conklin to be considered for the Occupational Therapy program.

***Deadline: November 30 to be considered for the next fall semester.***
Note: You will receive a letter about your status by March.

Questions?

Contact Chris Kimmel at 717-749-6168 or [email protected].

Name

Current Major or College

I request permission to change my major to 2OTCC (Occupational Therapy) from my current Major or College.

Effective Fall Semester, Year:

Student Signature

Instructions

You're almost done! Now that you've filled in the fields above, please print this page and sign it. You'll take your signed copy to the Records Office in Conklin Hall to be considered for the Occupational Therapy program.

When you have printed your copy, you may click the button below to send this form to your email address.

CAPTCHA

PSU ID Number

Telephone