Each student has an academic advisor to assist them in devising their academic plan.
This form can be used to change to a new advisor or add an additional advisor. Each advisor will have online
access your academic record and use that information to aid them as they advise you.
The signature of the any new or additional advisor is required.
Student Name ______________________________________________ ID #____________
Student Signature___________________________________________ Date____________
Current Advisor______________________________________
Keep Drop
New Advisor __________________________________ ______________________________
Signature
Additional Advisor ______________________________ ______________________________
Signature
Declaration of New or
Additional Advisor
Office of the
Registrar