CENTER FOR ACADEMIC ADVISING
Degree Works Adjustment for an Individual
Student
STUDENT INFORMATION
Student Name:
Z Number:
Program /Concentration
Preceptor: print or type, please
ADJUSTMENT TO PROGRAM AREA
(Academic Advising cannot accept any changes to curriculum without approvals from
Preceptor, Program Chair, and Dean.)
Changes to courses required for the Program area. Please list:
ADJUSTMENT TO COGNATE AREA
Changes in courses used as cognates. Please list courses used.
ADJUSTMENT TO GENERAL STUDIES ALLOCATION (Transfer Students only)
Please use the following course(s) as “G” substitutions.
ADJUSTMENT TO AT SOME DISTANCE
Use the following courses for ASD:
Preceptor (signature and date required)__________________________________________
Program Coordinator (signature and date required) _____________________________
Dean (signature and date required) ___________________________________________
For Academic Advising Use only:
Changes completed by:
Date: