Fillable Gr-change-of-graduate-program Graduate Reactivation/Change of Program Request

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Gr-change-of-graduate-program Graduate Reactivation/Change of Program Request

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The Gr-change-of-graduate-program Graduate Reactivation/Change of Program Request form is 1 page long and contains:

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University of Dayton
School of
Engineering
_____________________________________________ _____________________
_____________________________________________
_______________________________________________
_____________________
___________________
_______________________________________________ ___________________
GRADUATE REACTIVATION/CHANGE OF PROGRAM REQUEST
Student Name: _____________________________________ Student ID No. _________________________
I hereby request the following action:
Reactivation of my Graduate Program of: ________________________________________________
Change of my Program
Transfer from the Graduate Program of: _________________________________________________
Approval of transfer: _________________________________________________________________
Graduate Program Director or Department Chair
Transfer to the Graduate Program of: ___________________________________________________
Effective for the term beginning:________________________________________________________
Remarks:
Student Signature Date
International Students: Approval from International Student & Scholar Services is required prior to the
approval of this Reactivation/Program Change
ISSS Approval
Accepted for admission into the above program by:
Graduate Program Director or Department Chair
Date
Date
Associate Dean Signature Date
9/26/2018 Once approved, Dean’s Office will submit online Program Request to the Registrar’s Office
Copies to: Prior Department, New Department, Dean’s Office; Original – Enrollment Svcs
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Gr-change-of-graduate-program Graduate ReactivationChange of Program Request

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Completed 15 February 2020

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