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Surgical Technology Change Of Curriculum Application
I would like to Apply for Change of Curriculum to the Surgical Technology
Day Evening
Program
for Fall Semester at Bergen Community College
I am admitted into a degree program (i.e. Liberal Arts, Professional Studies General, etc.) at Bergen Community College.
Recommended but not required:
BIO-109 List grade if completed
Overall GPA requirement
I have a grade point average of 2.0 or higher at Bergen.
My Current Cumulative Grade Point Average is
Your grades and grade point average are available on WebAdvisor from the Bergen website: https://go.bergen.edu
  • You will be notified if additional documentation is necessary and/or regarding the entrance test date. Please make sure your address, phone number and e-mail address are current with the Registration Office, Room A-129.
  • If you have any questions about this form, please meet with a Counselor.
Name
College ID
Address
Email
Phone (Ex: Format should be 1111111111)
I agree that all information provided is accurate.
(By clicking I agree, you are digitally signing this document.)
I agree
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