Office of the Registrar Shuster Hall, Room 102 250 Bedford Park Boulevard West Bronx, New York 10468 P (718) 960-8255 www.lehman.cuny.edu/registrar registrar.office@lehman.cuny.edu Request to Drop Major, Minor or Advanced Certificate This is an application to request to drop your currently declared minor or advanced certificate ONLY. To declare/ change your Academic Plan/ Sub-Plan, login to iDeclare. Student Information – please print clearly EMPLID ________________________________ D.O.B._________/_________/_____________ Last Name _____________________________ First Name ____________________________ Middle Initial ______________ Phone _______________________ Email ________________________ CURRENT CAREER (Circle One): UNDERGRADUATE STUDENT GRADUATE STUDENT AND I AM REQUESTING TO DROP MY (Circle One): SECOND/THIRD MAJOR MINOR ADVANCED CERTIFICATE Plan__________________________________ Sub-Plan______________________________ Plan__________________________________ Sub-Plan______________________________ I certify the information on this application is accurate and complete and will be treated confidentially for institutional purposes only. I understand by signing this form that: . I have made the decision to DROP my minor/ advanced certificate and no longer required to complete the program requirements . Once the drop is done, it cannot be reversed . My request to drop is subject for review for graduation and state aid eligibility . If there are any impacts to my federal and state aid, I will be notified by the Office of the Registrar of my options and best course of action . If I applied for a Last Semester Exception (LSE) for state aid eligibility and dropping the minor/ advanced certificate makes me ineligible for LSE, I can potentially be de-certified for state aid and will be responsible for paying any outstanding balance(s) on my account . I should consult with Financial Aid to determine any potential impacts to my Title IV aid SIGNATURE REQUIRED BELOW Student Signature _____________________________________________ Date _____________________ Return this signed & completed form by email to: Office of the Registrar Records.Transcripts@lehman.cuny.edu 01/2019