Change Form
Major/Minor/Concentration/Certificate/Advisor
Student Name: ____________________________________ Student ID Number: _______________________
Please print legibly and return form to the Office of the Registrar.
All addition/change of majors need to have an updated advisor assignment and approval by the Dean.
REMOVE:
Major
Minor
Concentration
Certificate
ADD:
Check if adding a second major, minor, concentration, or certificate. I do NOT wish to remove an
already existing program.
Major
Minor
Concentration
Certificate
Date: ____________________________
Date: ____________________________
Date: ____________________________
Student's Signature: ___________________________________________________________
Dean's Signature:______________________________________________________________
Registrar Office Designee:____________________________________________________
Rev: 10/2019