Change of Campus

Please fill out this form, print or scan it and email it to dmh44@psu.edu. You may also bring it to the Student Services Center in 5 Henderson Building or fax it to the SSC at 814-863-0218.

If you're requesting a Change of Campus from University Park to another campus, please submit the form below.

First Name
Last Name
Student ID
Email Address
(xyz123@psu.edu)
Phone Number
Intended Major
Requested Campus
Semester Effective
Reason for Change
Personal Financial or Other
Please give a detailed rationale for this change request: