Name
Date
Current Status at Texas Tech University Health Sciences Center
Major You Now Wish to Pursue
Semester You Plan to Enter New Program/Concentration
TTUHSC ID (R#)
Have you contacted the Graduate Advisor for the program/concentration you plan to enter?
Yes
No
If not, we recommend doing so before submitting this form to the GSBS office.
Degree
Program
Program
Degree
Application for Change in Major/Declare Concentration
APPROVALS
Graduate Advisor of New Program/Concentration
Date
Graduate School of Biomedical Sciences
Date
Forward this form to the GSBS Office, 5BC100, Mail Stop 6206
Please send an email to the Graduate Advisor of your current program notifying them of your
request to change programs. Attach a copy of that email when you submit this form.
*Department Chair
Date
Concentration (Biomedical Sciences ONLY)
Concentration (Biomedical Sciences ONLY)
Date
*Administrator of New Program (Biomedical Sciences Ph.D. Only)
Ph.D. Mentor Name
*Ph.D Mentor Signature
* These signatures are also committing funds to support research, fee waivers, and salary expenses.
