Change of Academic Advisor
This form is used if requesting only a change in academic advisor.
Use a Change of Major form if requesting a change of major and therefore a change in advisor.
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Name Student ID#
Degree and Major: __________________________________________________________________________
Department: _______________________________________________________________________________
Current Advisor: ____________________________________________________________________________
Reason for requesting change of advisor: ________________________________________________________
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Student Signature Date
Name of new advisor as assigned by new Department Chair _________________________________________
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New Department Chair Signature Date
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Director of Academic Advising Date
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