Catalog Year Change Acknowledgement – River Valley Community College

Student ID#
Name*
First Middle Last
Email Address*
Telephone #*
Academic Program*
*
- Degree
- Certificate
I have reviewed the current and revised program of study for my academic program listed above.
I have decided to:*
- Stay with the catalog year on my record now
- Follow the revised program of study of the catalog year indicated below
Student Signature*
Date
Date Format: MM slash DD slash YYYY

Fax: 603-543-1844

Claremont Campus
1 College Place
Claremont, NH 03743
603-542-7744

Keene Academic Center
Cheshire House
67 Winchester Street
Keene, NH 03431
603-357-2142
Classes
438 Washington Street
Keene, NH 03431

Lebanon Academic Center
15 Hanover Street
Lebanon, NH 03766
603-443-4200