College of Graduate Studies
International Student Change of Program
or Change of Entry Term
THIS FORM IS FOR INTERNATIONAL GRADUATE STUDENTS ONLY.
MTSU!ID!Number:!M! !!Email!Address:!
Last!Name! First!Name! Middle!Initial!
Use$This$Section$for$Change$of$Program$
Program! changes! canno t! take! place! for! the! semester! the! form! is! submitted! IF! registration! exists! for!
specified!term.!!Program!change!will!take!effect!for!the!subsequent!semester.$
CURRENT$ACADEMIC$PROGRAM$OF$STUDY:$
Current!Degree! Current!Program! Concentration!(if!applicable)!
PROPOSED$ACADEMIC$PROGRAM$CHANGE:$
Proposed!Degree! Propose!Program! Concentration!(if!applicable)!
Use$This$Section$for$Change$of$Entry$Term$
Original$Application$Term:$ New$Entry$Term:$
Use$This$Section$for$Type$of$Admission$(select$only$one)$
FULL______________________________ CONDITIONAL__________________
Date!
Signature!
Email&to:&
internationalgrad@mtsu.edu!
Mail&to:&
College!of!Graduate!Studies!
MTSU!Box!42!
Murfreesboro,!TN!37132!
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