Fillable GEChangeofMajor Change of Major Form 3_24_10

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GEChangeofMajor Change of Major Form 3_24_10

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Graduate Studies
Wilkes University
84 W. South Street
Wilkes-Barre, PA 18766
Change of Major
For Accepted Students Only (Non-Accepted Students email change to onestop@wilkes.edu)
Directions: Student must complete top portion of form and submit to Graduate Office staff or the current
advisor for processing. Please print clearly.
Name: ______________________________________________________________________
Address: ___________________________________________________________________
City/State/Zip: _______________________________________________________________
Date of Request: ___________________________ WIN #: ____________________________
_____________________________________________________ requests a change of major from
Last Name First Name
______________________________________ to ______________________________________
Program name Program name
effective for the_________________________. My advisor is _________________________________
semester / year Print Name
For Advisor Use Only
Student Admitted: Yes, on: _____________________
Directions: Current Advisor should pull file and forward to requested program coordinator for review.
Change of Major – granted / denied, reason: ________________________________________
________________________________________ __________________________________
Name of New Advisor New Advisor Signature
________________________________________
Date Reviewed
For Department Use Only
________________________________________ __________________________________
Date Received and Processed Date original and copy was sent to student
Original: Student Services
cc: Student, Advisor Revised 3/24/2010
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GEChangeofMajor Change of Major Form 3_24_10

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Completed 17 February 2020

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