G
RADUATE ADMISSIONS CHANGE OF PROGRAM FORM
NAME: APU ID#:
(Please print)
YOUR NEW DESIRED ACADEMIC PLAN ___________ SUB PLAN (if applicable) ____________
Please indicate your desired academic plan using the list of program plan codes found
at http://www.apu.edu/graduateprofessionalcenter/download/ . If help is needed please contact your program representative for
assistance.
Note: Changing programs may affect your eligibility for financial aid. Please contact your financial aid counselor to verify your
eligibility.
DESIRED START TERM __________ YOUR LOCATION ______________
(Must meet application deadline) (e.g Azusa, Online, Orange County, Murrieta, Inland Empire)
SIGNATURE DATE: __________________
Note: This form is not for students who want to change from one school to another (e.g. School of Education to
School of Nursing). Students wanting to change schools must submit a new application.
Please return this form to:
Azusa Pacific University, Graduate Admissions P.O. Box 7000 Azusa, CA 91702
Email: gradadmissions@apu.edu Fax: (626) 815-4571.
Once this document and all necessary items are received they will be sent to the department for review.
(For Graduate Admissions Office Use ONLY)
Current Academic Plan Code To Be Changed: ______________
New tracking items needed:
Autobiography
Recommendations (1,2,3)
Résumé/Exp. Form
Letter to the Dean/Essay
CBEST Registration
CBEST Passed
Certificate of Clearance
Teaching Credential
Verification of Tchg Exp
Verification of Admin Position
GRE
GMAT
Valid Prelim Admin Cred
CSET or Waiver
Nursing App
Other ___________________________
No additional documents are required
Program Representative: _______________________________________Date:_______________
Revised 4/29/2015
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