Office of the Registrar
DS 120
Distribution: Academic Advisement Office of the Registrar
8/2018
CHANGE OF MAJOR
NAME: ______________________________________________________ DATE: ___________ STUDENT ATHLETE: □ YES □ NO
STUDENT ID NUMBER ____________________________ ANTICIPATED GRADUATION __________________________
(mm/yyyy)
CHANGE FROM _______________________________________________ _________________________________________________
Major Minor/Specialization/Area Study (if applicable)
TO _______________________________________________ _________________________________________________
Major Minor/Specialization/Area Study (if applicable)
REASON FOR CHANGE OF MAJOR _____________________________________________________________________________________
**If you are a STUDENT ATHLETE this form will not be processed unless signed by the Associate Athletics Director of Compliance**
**If you are an INTERNATIONAL STUDENT this form will not be processed unless signed by the Global Programs Director or Assistant Director**
__________________________________
Signature of Previous Chairperson/Program Director
__________________________________
Signature of New Chairperson/Program Director
__________________________________
Signature of Student
__________________________________
Signature of Athletics Director or Director of
Compliance
__________________________________
HEOP/Vision Program Officer’s Signature (if applicable)
__________________________________
Signature of Global Program or Assistant Director (If applicable)
For use by the Office of the Registrar:
Form received on ___________________
By ___________________
Form Evaluated on ___________________
By ___________________
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