Change of Major/Minor
Last 4 Digits of Banner ID #:
Student Statement of Agreement: I have reviewed and understand the obligations of the above program(s) of study and assume responsibility
for the completion of the degree requirements.
Student Digital Signature/Date:
Instructions for Students:
1. Note your intention to Retain or Delete each of your current programs in the associated check box.
2. In the Additions section note any new program(s) of study. Once you have completed the form, you must go to print, then save as a .pdf.
3. Contact the Chair/Director for program advisement and approval via email:
A. Chair/Director approval for your current program(s).
B. Chair/Director approval for any new program(s) added.
C. All Student-Athletes are required to obtain additional approval from Kaitlyn O'Malley, Academic Coordinator for all Student Athletes: email@example.com
D. All Undeclared students are required to obtain the approval from Peter Palumbo, Director of Academic Advising: firstname.lastname@example.org
4. It is your responsibility to return this form along with all necessary approvals in one email from you to email@example.com
Current Program of Study
Please email the completed form with
all required approvals to:
Minors/ Concentrations/ Cert.
I am a student athlete: Yes No
If yes, please forward form to Kaitlyn O'Malley at komalle5
@providence.edu for additional approval.
Instructions for Chairs/Directors:
If you approve the student's request, please
provide the student with an email indicating the
name of the new advisor (major additions only).
| The Office of the Registrar - By Appointment Only | Harkins Hall 310 |
| 1 Cunningham Square Providence, RI 02918 | p. 40
1-865-1033 | f. 401-865-1899 | firstname.lastname@example.org | www.registrar.providence.edu |