REV 6/3/20
DECLARATION/CHANGE OF MINOR FORM
Instructions: Fillable .pdf forms need to be downloaded, filled out, saved, then emailed from your Union email account, as it acts as the
signature. (Works best if you open with Adobe). Email the completed form to maloneys@union.edu along with permissions. In lieu of the
signatures, permission can come in the form of an email as long as it comes from their @union.edu account.
I, _______________________________________request permission to declare/change my minor.
(Please Print Name)
My current major(s): _________________________________
f
rom (minor 1)___________________________________ to (minor 1)_________________________________
from (minor 2)___________________________________ to (minor 2)_________________________________
(Student Signature) (ID#) (Class Year) (Date)
INSTRUCTIONS: Obtain signatures from the department chair, then return this form to the Registrar’s Office.
This student has consulted with me: _____________________________________ ________________________
1) New Department Chair Signature (Date) 2) New Department Chair Signature (Date)
T
his student's new faculty adviser(s) will be: ______________________________________________________
To be completed by New Minor Department Chair(s)
P
lease refer to “The Minor” in the “Academic Program and Policies” section of the Academic Catalog for relevant college policies.
Silliman Hall
Schenectady, NY 12308
Fax 518-388-6173
registrar@union.edu
click to sign
signature
click to edit
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click to sign
signature
click to edit
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click to sign
signature
click to edit
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