Declaration/Change of Major
IMPORTANT:
• If you are declaring more than one major you will need to submit a separate form for each request.
• Pre-majors in the following programs must contact the department to change from Pre-major to Major status:
Biological Science, Criminal Justice, Graphic Design, Health Science, Nursing, Photography, Psychology,
any major in the College of Engineering and Computer Science, or any concentration in the College of
Business.
• If you are declaring a Special Major please go to Academic Affairs, Sacramento Hall Room 234.
• Do NOT use this form if you have applied for graduation.
• Submit completed major declaration form to the Student Services Counter, Lassen Hall Lobby.
PLEASE PRINT IN BLUE OR BLACK INK
Student ID#: _______________________________________
Name: _______________________________________________________________________________________
Last First MI
Day Phone: ___________________________________ Email: ______________________________________
Have you applied for Graduation? Yes □ No □
Have you ever been academically disqualified from the major that you are now declaring? Yes □ No □
I am an undergraduate student and my immediate degree objective is BM □ BA □ BS □
I am a post-baccalaureate student and my immediate objective is 2nd Bachelors □
PLEASE INDICATE APPROPRIATE CHANGES:
□ Change Major to: __________________________________ (by checking this box, your current major or pre-major will be deleted)
OR
□ _Add Major: ______________________________________ (please add this newly declared major as an additional major)
Concentration ___________________________________ or Emphasis _________________________________
(if applicable indicate concentration or emphasis)
_____________________________________ _____________________________________ __________
ADVISOR’S NAME (PLEASE PRINT) ADVISOR’S SIGNATURE (REQUIRED) DATE
_____________________________________ _____________________________________ __________
DEPARTMENT CHAIR’S NAME (PLEASE PRINT) DEPARTMENT CHAIR’S SIGNATURE (REQUIRED) DATE
________________________________________ ____________
STUDENT’S SIGNATURE (REQUIRED) DATE
For Office Use Only
REV 02/15 Initials: ____________ Date Posted: ______________
