Position
Signatures
Date
Approved
Denied
Advisor
Current Dean/Dept. Chair
Proposed Dean/Dept. Chair
Vice President for Academic Affairs
Distribution: Student File (Registrar's Office), School Office(s), Advisor
STUDENT CHANGE OF STATUS FORM Please make sure top block is completely filled out.
Name:
Student ID Number:
School : Current GPA:
Expected Date of Graduation:
Major:
this transaction will make student a graduate
Items 1, 2, 3 & 5 Require Signature of Advisor, Current Department Chair and Proposed Department Chair
Items 4, 6 & 7 Require Signature of Advisor, Current Department Chair and Proposed Department Chair & Dean
Vice President Signature is only required at the request of the Registrar for special circumstances
1.
Change of Major
Current Major and Degree:
Effective Date:
Proposed Major and Degree:
2.
Request for Additional Semester(s)
# of semesters already completed:
Specify semester(s):
# of semesters in progress:
3.
Permission to Transfer Credit
From:
Semester and year taken/to be taken:
Transfer Course:
Cobleskill Equivalent:
Transfer Course:
Cobleskill Equivalent:
4.
Special Student Status
Semester:
5.
Permission for part-time matriculated student to
change to full-time status
Semester to begin Full-time:
6.
Waiver of Degree Requirements by Substitution of Course
Required course:
Substitute course:
Required course:
Substitute course:
Required course:
Substitute course:
Required course:
Substitute course:
7. Other Action:
Updated 2014