FOR OFFICE USE ONLY
PLACE DATE STAMP HERE
CHANGE OF UNDERGRADUATE
MAJOR/MINOR
OFFICE OF ADMISSIONS AND RECORDS (WH 290)
FOR OFFICE USE ONLY
Processed By:
Date Processed:
Last Updated: March 23, 2020
STUDENT ID:
SIGNATURE:
LAST NAME:
FIRST NAME:
PHONE NUMBER:
EMAIL:
Have you applied for graduation? YES NO
If yes, term applied for graduation:
Spring
Summer
Year
Year
I wish to declare the following new:
Major:
Concentration / Option (If Applicable)
Minor:
Concentration / Option (If Applicable)
Second Major:
Concentration / Option (If Applicable)
Second Minor:
Concentration / Option (If Applicable)
PROGRAM / FACULTY MEMBER APPROVAL
MAJOR CHANGE: _________________________ ________________________ _____________
Major Program/Faculty Member Name Major Program/Faculty Member Signature Date
MINOR CHANGE: _________________________ ________________________ _____________
Minor Program/Faculty Member Name Minor Program/Faculty Member Signature Date
SECOND MAJOR CHANGE: _________________________ ________________________ _____________
2
nd
Major Program/Faculty Member Name 2
nd
Major Program/Faculty Member Signature Date
SECOND MINOR CHANGE: _________________________ ________________________ _____________
2
nd
Minor Program/Faculty Member Name 2
nd
Minor Program/Faculty Member Signature Date
Please email the completed form with required signatures to admit@csudh.edu
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