http://www.uscb.edu/uploads/Term_Change_Form

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USCB Change of Term Form Students Who Applied To USCB within the Past 12 Months

(Please Type or Print Neatly) Full Name: ________________________________________________________ Mailing Address: ___________________________________________________ ____________________________________________________ E-mail:____________________________________________________ Daytime Telephone Number: (

) ___________________________

Social Security Number: ______-_____-________ Status (Choose One): Freshman

Transfer

Concurrent

Non-Degree Seeking

Transient

Returning USCB

When do you plan to enroll with USCB? Fall 20____ Spring 20____

Summer I 20_____

Summer II 20_____

What is your proposed major? _________________________________________ What was the last term that you applied to USCB? ______________________________ What was the last school you attended? ______________________________________

_________________________________________________________________________________ Signature Date

Please return to:

University of South Carolina Beaufort Office of Admissions One University Blvd Bluffton, SC 29909 (843)208-8000 Fax (843) 208-8290


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