Application for Change of Program and/or Concentration
NOTE: This form can only be used for changes within programs (e.g., MA to MS, advisor change). Students who wish
to change to a different program must complete an application for admission to the new program.
Name:
Student
ID #:
Last
First
M.I.
Current Degree Type/Concentration
New Degree Type/Concentration
Effective Term
Effective Year
Reason for Change
Printed Name
Signature
Printed Name
Signature
Required Approvals
and ID
Printed Name
Signature
Email to the College of Graduate and Professional Studies, ISU-GradInfo@indstate.edu
. Forms will only be accepted
when emailed from the department or college.
Copy to be retained in ImageNow.