Change of Emphasis Form
Student's EMPLID:
Date
Academic Level
Student's Name (Last, First, MI)
A change of emphasis status on the student listed above is to be processed due to the reason(s) checked below (check all that
apply). The Graduate School will allow one free "change of status" for students changing emphasis or degree level. Any subsequent
status changes will require the $40 change of status fee. All status changes require completion of the Change of Status Form by the
graduate director/coordinator and submission of the form to the appropriate degree auditor.
Emphasis Change:
From:
To:
Degree Change:
From:
Comments:
To:
Name
Signature
Advisor
Advisor
School Director
School Director
Dean, Grad School
Dean, Grad School
Degree Auditor
Degree Auditor
Updated August 2019
The University of Southern Mississippi
Graduate School
118 College Drive #5024 Hattiesburg, MS 39406
This PDF form is fillable. Handwritten copies will not be accepted. Completed form should be
submitted via email.
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