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Lancaster County CTC offices will be open over the summer from 7:30 AM to 3:30 PM.

Offices will be closed on Fridays over the summer, from June 1 until August 14.

Offices will also be closed on July 2.

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Higher Education Change of Status Form

CHange of Status form

higher education programs

"*" indicates required fields

Company

This field is for validation purposes and should be left unchanged.

Student Information

Legal Name*

First Middle Last

Email*

Phone*

Which type of program are you enrolled in?*

Full Time / Degree Program

Short-Term or Continuing Education Program

Full-Time / Degree Program Course Information

Select your full-time program.*

Automotive Technology AST

Advanced Welding

Welding Technology

Dental Assistant

Dental Hygiene AST

Medical Assistant

Practical Nursing

Veterinary Technology AST

Short-Term / Continuing Education Course Information

Select your short-term or Continuing Education program.*

Machinist/CNC Operator Training Program

Basic Industrial Maintenance

Commercial Truck Driving (CDL) Training – Class A

Commercial Truck Driving (CDL) Training – Class B

HVAC EPA Certification

Expanded Function Dental Assistant

Phlebotomy

Emissions Inspector Certification Course

Vehicle Safety Inspection Certification – Category 1 and 2

Vehicle Safety Inspection Certification – Category 1 OR 2

Vehicle Safety Inspection Certification – Category 3

Basic Welding

Electric Arc Welding

Mig Welding

TIG Welding

Who is completing the form?

Name*

First Last

Reason for Status Change*

Withdraw from Program

Change a Program/Level

Add/Drop a Course

Explanation of Status Change

Effective Date of Change*

MM slash DD slash YYYY

Phone number where we can reach you:*

Best time to call:

I acknowledge I have discussed my change of status with my instructor, advisor, and/or success coach.*

Yes

No

I acknowledge I have discussed my change of status with financial aid and the business office and understand how this change may impact me financially.*

Yes

No

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1730 Hans Herr Drive
Willow Street, PA 17584

Phone 717-464-7050

Fax 717-464-9518

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