Records and Registration
126 Tillman Hall
Winthrop University
Rock Hill, SC 29733
Phone: 803/323-3695
RecandReg@winthrop.edu
6/2017
THE GRADUATE SCHOOL
CHANGE OF CONCENTRATION OR CATALOG FORM
Purpose: This form is to be used when a student changes their catalog, or changes a concentration.
The completed, signed form should be submitted directly to the Office of Records and Registration.
STUDENT ID NUMBER: _________________________________ HAVE YOU APPLIED FOR GRADUATION? YES NO
NAME: _____________________________________________________ ____________________________________________________________ __________________
LAST FIRST M.I.
CONTACT INFORMATION: EMAIL: _______________________________________________ PHONE: _____________________________________________
CHANGE OF CONCENTRATION:
DEGREE PROGRAM: ________________________________________________________________________________________
CURRENT CONCENTRATION: ________________________________________________________________________________________
CHANGED TO -OR- ADD
NEW CONCENTRATION: ________________________________________________________________________________________
CHANGE OF CATALOG:
Current Catalog: _____________________________________________
New Catalog: ______________________________________________
*NOTE: A change in Degree Program requires a new Admissions Application through the Graduate School.
STUDENT SIGNATURE:____________________________________________________________________
DATE:_____________________________________
AUTHORIZING SIGNATURE: (PROGRAM DIRECTOR) ________________________________________
DATE:_____________________________________
AUTHORIZING SIGNATURE: (REC & REG)___________________________________________________
DATE: _____________________________________