Change of Status Form
Date
Academic Level
Student's Name (Last, First, MI)
Student's EMPLID:
A change of admit status on the student listed above is to be processed due to the reason(s) checked below (check all that apply).
Admission Status (has completed the REQUIRED conditions to be changed from Conditional to Regular Admission Status).
G
PA on 9
hours or total taken while completing 9 hours (Masters: 3.0; Specialist: 3.0; Doctoral: 3.0).
Student has no incomplete grades.
Other department requirements have been satisfied.
Names
Signatures
Advisor
Advisor
School Director
School Director
Dean, Grad Sch
Dean, Grad Sch
Degree Auditor
Degree Auditor
Updated August 2019
This PDF form is fillable. Handwritten copies will not be accepted.
Completed form should be submitted via email.
The University of Southern Mississippi
Graduate School
118 College Drive #5024 Hattiesburg, MS 39406
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