Change of Campus

Please fill out this form and bring it to the Student Services Center in 215 Henderson Building or fax it to the center 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 rational for this change request: