REQUEST TO CHANGE EFFECTIVE CATALOG
Student Name________________________________________________ Graduate Program________________________
Current Catalog Effective Dates_________________________ New Catalog Effective Dates ________________________
Specify reason for change to new catalog: ________________________________________________________________
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I have reviewed the request to change from current effective catalog.
Approve change Deny change
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Advisor Date
Approve change Deny change
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Chair/Unit Chair Date
Approve Change Deny Change
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Dean of College Date
Approve Change Deny Change
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Director of Graduate Studies Date