Clarion University of PA
Undergraduate Change of Status Form
1. Before changing your curriculum, students should consult with an advisor or department chair (If you are an athlete, please check with DJ Bevevino before
changing your major). Certain colleges have entrance requirements; refer to the college web
page
www.clarion.edu/academics/colleges-and-schools/index.html
2. Students should complete the change-of-status form and submit the change to the department. Venango students should return the form to Venango Administration,
Room 200, Frame Hall. Venango Nursing students should return form to Room 218, Montgomery Hall. WPHSON return to Pittsburgh Nursing Office. For each
departmental change you must submit a separate form. If you are unsure of where to turn in the form, please check the academic department page at
www.clarion.edu/academics/degrees-programs/
3. Students must type directly on this form, print, sign, and submit to the department of the new major or minor. Integrative Studies and Undecided majors refer to the
Student Resources page for information on where to turn in the form. www.clarion.edu/academics/academic-support/advising-services-center/index.html
Clar
ion ID Number: ___________________________
Name: _________________________________________
Phone Number: __________________________________
Expected date of graduation: ___________________
College: ARTS & SCI BUS ADMIN & INFO SCI HEALTH SCI & HUMAN SERVICES SCHOOL OF EDUCATION
Current Major: Degree: ______________________________
Major 1: ______________________________ Concentration: ________________________ Minor 1: ___________________
Major 2: ______________________________ Concentration: ________________________ Minor 2: ___________________
Indicate by checking the box whether you are requesting to add or drop the changes below:
Add Drop
Major: __________________________ ___________________________ ______________
Name of Major Name of Concentration Degree
Major: __________________________ ___________________________ ______________
Name of Major Name of Concentration Degree
Concentration: _________________________ 2nd
Concentration: _________________________
Name of Concentration Name of Concentration
Minor:
__________________________ 2nd
Minor: _________________________
Name of Minor Name of Minor
Certificate: _________________________
Name of Certificate
Pre-professional program: ______________________________
Name of Pre-professional program
Change campus: Clarion Venango Online Pittsburgh (Nursing) Somerset (Nursing)
Change Advisor from: __________________________________ Change Advisor to: __________________________________
I certify I have reviewed my degree requirements and consulted with my advisor regarding these changes. I understand that changing my status
may impact my graduation date or requirements.
Student Signature: _________________________________________________ Date: ______________________
Form will not be processed without the student’s signature
Office of the Registrar-Clarion University of Pennsylvania 2/20
Courses taken for certificates must also count in the evaluation of your
degree audit to be counted for Federal and State financial aid eligibility.
Elective courses will count as long as open elective hours exist.
Dept. Signature _____________________________________________ Date _____________________ Catalog year ________________ GPA __________
Na
me of Advisor Assigned ___________________________________________________ Advisor ID Number ____________________________________
After completing this area, please return to the Registrar’s Office.
