FORM 9 Request to Change Graduate Degree/Program, Major/Specialization, or Advisor
Declaring a new graduate degree or program, a new major or specialization, or requesting a new advisor
is NOT automatic. Your request for these changes requires the Chair’s approval within the major
department. This form does not apply when you conclude a program/major and wish to be admitted for
another one. Seeking admission to a new graduate program after graduation or completion of course
requirements requires an application through the Graduate Admissions office.
To change your current graduate program or advisor: Please check the section or sections below that
relate to the change you are making and specify the adjustment desired. If you are changing your
degree/program or major/specialization, consult the graduate website (www.ccsu.edu/grad
) to
determine if additional materials are required by the new academic department. Submit your
completed request to the Graduate School, Barnard Hall, Room 102.
☐ Degree/Program - check appropriate “from” and “to” boxes.
☐Ed.D ☐MA ☐MAT ☐MBA ☐MS ☐OCP ☐Sixth Year ☐Teacher Certificate
☐Ed.D ☐MA ☐MAT ☐MBA ☐MS ☐OCP ☐Sixth Year ☐Teacher Certificate
☐ Major/Specialization – complete each box.
☐ Advisor – Print name each box.
Approved ☐ Not Approved ☐ Approved with Conditions ☐
Please describe the conditions applicable to this request: _________________________________________________________
_______________________________________________________________________________________________________
Please Print: __________________________________________________ EFFECTIVE: _______________ /___________
Department Chair Semester Year
Please Sign: __________________________________________________ Date: ______________________
Department Chair
Approved Not Approved
____________________________________________________ _______________________________
Dean, School of Graduate Studies Date
Rev.11/2015
