ACADEMIC ADVISOR FORM
_________________ ________________________________________ __________________________________ _______________
Student I.D. # Name (please print last, first, middle initial) Signature Date
Please note: Five-year double-degree students must have an advisor in the Conservatory and in the College.
List ALL Current Advisor(s): _________________________________ Keep Remove
_________________________________ Keep Remove
_________________________________ Keep Remove
List ALL New Advisor(s): ____________________________
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I agree to advise this student ______________________________________________________________________
Signature of new advisor(s) Date
Rev. 8/13
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