Minor Form

This form is for currently enrolled students only. If you are a New First Time Freshman, Transfer or Re-Admit Student, please do not use this form. Please email Admissions at admissions@concord.edu for changes to your degree, major or minor.

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Name (required) Name (required) * First Last
Student ID Number (required) *

Your 774 or 922 number, NOT your social security number.
Are you receiving veteran education benefits? *

Are you receiving veteran education benefits? Yes No
Date (required) Date (required) * / MM / DD YYYY
Campus Box
Complete Mailing Address (required) Complete Mailing Address (required) *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please list the address that you get mail directly at to prevent any delay of time-sensitive information.
Email (required) *
Phone (required) Phone (required) * - ### - ### ####

Please list your cell phone or the best number we can reach you.
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

Declaration of Degree/Major/Minor Form

Declaration of Degree/Major/Minor Form

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