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Request to Drop Undergraduate Certification Program

Department of Education and Human Development
The College at Brockport, SUNY

  • Must be 9 digits.   Currently Entered: 0 digits.
  • Name Name *
  • Brockport email if you have one

  • IMPORTANT: This form notifies the education department and field experience that you are withdrawing from your EHD program/Major.

    You MUST go to the Academic Success Center to change your major OR you can complete this Major Declaration form online:

    https://forms.brockport.edu/view.php?id=3800611
    (copy and paste or type the url in your browser)

  • Draw or Type
    I understand this is a legal representation of my signature. Clear
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