Name: OSU ID Number:
Mailing Address: City, State, Zip:
Major Specialization (if applicable):
2
nd
Major: (if applicable) Specialization (if applicable):
When requesting a change or substitution of requirements in your major, first confer with your faculty advisor. If your
faculty advisor believes the change is academically necessary or advisable, this form should be filled out and left with
your advisor for action. Your advisor will then send the form to the Division Chairperson, who will forward it to the
Office of Academic Affairs.
for
Substitution Course (i.e. Bus Tec 2240T) Cr Hrs Required Course (i.e. Bus Tec 2241T) Cr Hrs
Substitution/New Course Title Required/Old Course Title
academic reason(s)/justification for the request/substitution:
Student Signature: Date:
Approved Disapproved
Faculty Advisor Signature Date
Approved Disapproved
Program Coordinator Signature Date
Approved Disapproved
Division Chairperson Signature Date
Approved Disapproved
Assistant Director for Academic Affairs Date
If disapproved please give reason/justification:
Distribute: Student file (Original) / Student / Advisor
Entered DARS: Initials: Revised 12/14
