Declaration of Intent - Online to Residential

Declaration of Intent - Online to Residential

This form is required for any student desiring to switch from an online program to a residential program.
Student Name*

FirstLast
Student ID #*
TFC Email*
Phone Number*
Current Advisor*
Advisor's Name (If not listed above)*
Intended Residential Degree or Program*
Intended Term For This Change To Become Effective:*
Please explain why you desire to switch from your current online program to a residential program:*
Emergency Contact

An emergency contact must be on file for all residential students. Please complete the following information regarding your emergency contact:
Name*

First NameLast Name
Phone Number*
Email*
Relation to you*

ParentGuardianSpouseSiblingChildOther
Should be Empty:

Emergency Contact