Center for Academic Success and Registrar ● PO Box 770 ● Georgetown, TX 78627
Phone: 512-863-1952 ● Fax: 512-863-1685 registrar@southwestern.edu
S:\Registrar\Forms\Change of Advisor FA18
CHANGE OF ACADEMIC ADVISOR
PLEASE CLEARLY PRINT ALL INFORMATION
STUDENT INFORMATION
Name:
Last First Middle
Student ID or SS#: SU Email:
Please meet with the faculty member whom you wish to be your new advisor. After obtaining
the new advisor’s approval signature, return this form to the Center for Academic Success and
Registrar.
I REQUEST THE FOLLOWING CHANGE IN ACADEMIC ADVISOR:
FROM: SU Email:
Name of Current Advisor
TO: SU Email:
Name of New Advisor
Student Signature: Date:
New Advisor Signature: Date:
OFFICE USE ONLY:
Student File Updated [ ]
Changes E-mailed to:
Old Advisor [ ]
Date: ______________ By: _____________
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