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Graduate Degree Status Change Form
Office of the Registrar
100 Institute Road, Worcester, MA 01609
Ph: (508)-831-5211
Fax: (508)-831-5931
Instructions: Please fill out the form and obtain appropriate signatures and return to the Office of the Registrar
Part I Please Print:
Name:______________________________ Student ID: _______________________________
Major:______________________________ Email:____________________________________
Part II Please Print:
Major Change
Please Note: Applications for new majors must be processed through Graduate Admissions.
Part III Please Print:
Degree Change
Current Degree: _________________________ to New Degree: _______________________________________________
Approved:_______________________________ or Denied:____________________________________________________
Department Head or Graduate Coordinatore Signature:_______________________________________Date:____________
Part IV Please Print:
Part-time/Full-time Change
Current Status: ___________________________ New Status: ______________________________________________
Part-time: ____________Full-time____________ to Part-time:___________________Full-time:_____________________
Approved:_______________________________ or Denied:___________________________________________________
Department Head or Graduate Coordinatore Signature:_______________________________________Date:____________
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