Fillable CCSU Change of Degree/Program/Advisor

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CCSU Change of Degree/Program/Advisor

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The CCSU Change of Degree/Program/Advisor form is 1 page long and contains:

  • 3 signatures
  • 19 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

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SCHOOL OF GRADUATE ST
UDIES
Change of Degree/Program/Advisor
Add Certificate
Declaring a new graduate degree or program, a new major or specialization, or requesting a new advisor
is NOT automatic. Your request for these cha
nges requires the Chair’s approval within the major
department. This form does not apply when you conclude a program/major and wish to be admitted for
another one. Seeking admission to a new graduate program after graduation or completion of course
requirements requires an application through the Graduate Admissions office.
Name:
CCSU ID:
Student Email: @my.ccsu.edu
Phone:
Student Signature:
Date:
To ad
d a certificate to your current master’s degree program: Please fill in the title of the certificate in the
appropriate section below.
To change your current graduate program or advisor: Please check the section(s) below that relate to the
change you are making and specify the adjustment desired. If you are changing your degree, program, or
specialization or adding a certificate, consult the graduate website (www.ccsu.edu/grad) to determine if
additional materials are required by the new academic department. Submit your completed request to
the School of Graduate Studies, Barrows Hall, Room 120.
☐Add Certificate to current Master’s program
Certificate Title:
☐ Requested Degree - check appropriate boxes for the program you would like to change to.
☐ To:
☐Ed.D ☐DNAP ☐MA ☐MAT ☐MBA ☐MS ☐MSN ☐Sixth Year
☐OCP ☐Teacher Certificate
☐ Requested Major/Specialization
–Title:
☐ Requested Advisor – Print name
To:
Approved
☐
Not Approved
☐
Approved with Conditions
☐
Please describe the conditions applicable to this request: _________________________________________________________
_______________________________________________________________________________________________________
Please Print: __________________________________________________ EFFECTIVE: _______________ /___________
Department Chair Semester Year
Please Sign: __________________________________________________ Date: ______________________
Department Chair
Not Approved
_______________________________
Approved
___________________________________________________
_ School of Graduate Studies
Date
Rev.10/2019
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CCSU Change of DegreeProgramAdvisor

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Completed 30 May 2020

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