(to be completed by the student)
Name (print)
Last First M.Init
I declare my intent to complete the following minor:
Student Signature Date
A minor may be declared at any time after a student has declared a major.
A Verification of Completion of Minor form must be submitted for the minor to remain on a
student's transcript upon graduation.
The Verification of Completion of Minor form should be submitted during the semester that
the student is completing the last course for the minor.
White Registrar's Office
Yellow Chairperson of Minor Department Date Entered
Pink Adviser
revised 2/11
click to sign
click to edit