Last
Name:
Campus E-mail:
Student ID # : Phone #:
First Middle Maiden
Old Major:
Descriptive TitleDescriptive Title
New Major:
Signature
Indicate option if applicable:
Date :
Signature
PART III: TO BE COMPLETED BY STUDENT
After form is completed and signed, return it to the Admissions and Records
Service Windows, Joyal Administration Building, North Lobby.
However, if you have applied for graduation, turn this form in to the
Evaluations Office, Joyal Room 115.
PART II: TO BE COMPLETED BY NEW MAJOR DEPARTMENT
PART I: TO BE COMPLETED BY STUDENT
For Office Use Only
Admissions and Records (559) 278-2261
CHANGE OF MAJOR REQUEST
Consulted faculty advisor/departmental designee regarding major requirements.
Reviewed specific courses outside major (i.e. GE and additional courses required.)
I have reviewed the major requirements as well as courses outside the major with the student. Student
understands the requirements and is prepared to complete a major in ___________________________.
Faculty Advisor/Dept. Designee Date
Major Code: Entered By:
Date:
9/22/10
