Ofce of Admissions | 4202 E. Fowler Ave., SVC 1036 | Tampa, FL 33620 | P: 813-974-3350 | F: 813-974-9689 | E: GradAdmissions@usf.edu
GRADUATE APPLICATION
ADDENDUM FORM
University ID: _______________ Date of Birth: ________________ Full Legal Name: __________________________________________
E-mail Address: _____________________________________Telephone: ___________________________________________________
Please complete this form with any additional or updated information that you would like to add to your USF application.
UPDATE ACADEMIC INFORMATION
I NEED TO (MAY CHECK MULTIPLE ITEMS): REQUIRED SUPPORTING DOCUMENTATION
Request removal of an institution from my record Letter of non-enrollment from institution
Report attending additional institutions Explanation, along with ofcial transcripts
Report additional test dates (Please note that a nal decision will be held at the sole discretion of the Ofce of Admissions after evaluation
of other credentials, and only on a space available basis)
UPDATE PERSONAL INFORMATION
OTHER UPDATES AND EXPLANATION
I understand that:
• I must submit the required supporting documentation and/or explanation in order for my request to be reviewed
• If an admissions decision has already been rendered, an alteration may result in the rescission of that decision
I, the undersigned, hereby declare that I have read the foregoing document and that the facts stated in it are true and further afrm the authenticity of the information
provided on all pages of this ‘Application Addendum Form.’ I understand that any false or misleading information on this ‘Application Addendum Form,’ or provided in
support of this ‘Application Addendum Form,’ will subject me to penalties pursuant to section 837.06, Florida Statutes, for making a false statement.
Signature: ___________________________________________________________________ Date: ____________________________
Please Note: You can use the electronic signature in the llable PDF forms and upload the signed document to your online application or email it to
admissions@usf.edu. You do not need to print and sign by hand. However, your signature (whether wet or electronic) still certies that the information
submitted is accurate. Please allow 4-6 weeks for processing from the time we receive the form in our ofce. Thank you.
Change my citizenship
Ofcial documentation (e.g. passport, Certicate of
Naturalization, Permanent Resident Card, etc.)
Correct my date of birth Copy of driver’s license, passport, or state ID
Correct or change my name Copy of driver’s license, passport, or state ID
Correct my Social Security number Copy of Social Security card
click to sign
signature
click to edit
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