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Change of Major/Minor
PLEASE PRINT INFORMATION AND RETURN COMPLETED FORM TO THE OFFICE OF ACADEMIC
ADVISEMENT IN PARKER LIBRARY 14
DATE STUDENT ID _______
STUDENT’S NAME _______
STUDENT’S SIGNATURE _______
EMAIL __________________________@wesley.edu (notification of new advisor will be sent here)
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(REQUIRED)!CURREN T!ACADEMIC!ADVISOR’S!SIG NATUR E:________________ ___ ___ ___ ___ ___ ___ ___ !
DA TE:_______________ !!!!!!!!!!!!!!(*Previous!advisor:!please!send!student!file!to!new!advisor)!
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MY!OL D!MAJOR:!__________________________ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _!
MY!NE W!MAJ OR: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ !
CONCENTRATIONS,!!if!applicabl e!:!_______________ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _!
MY!NE W!MINOR:__________________________ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _!
NEW!ADVISOR!ASSIGNED:!________________________ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _!
NEW!ADVISOR’S!OFFICE!LOCAT ION:________ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _!
SIGNATURE!OF!DIRECTOR!OF!ADVISEMENT:!_____________________ ___ ___ ___ ___ ___ ___ __!
OFFICE!USE!O NLY!:!!DATE!ENTERED !INTO!STUDENT!RECORD!BY! REGISTRAR’S!OFFICE:!____________!
Revised!Oct.!2014!
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