SIMMONS UNIVERSITY
Office of the Registrar
300 The Fenway, Boston, MA, 02115
Tel 617.521.2111 Fax 617.521.3144
MINOR DECLARATION FORM
Name: __________________ Simmons ID #: ________________ Anticipated Graduation Date: _____/____
Month Year
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Academic Policy:
You may declare a minor after you have earned a minimum of 32 semester hours and prior to earning 80 semester hours.
To declare more than one minor, you must obtain the signatures of the chairpersons in each department.
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Minor Track
:
If you are declaring a minor in one or more of the following departments, please indicate your track:
Art • Arts Administration • Business/Management • Computer Science • Education
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I am declaring my minor for the first time: Yes No
If you are not declaring this minor for the first time, please check below what action you would like taken.
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Student’s Signature: __________________________________________ Date: __________________________________
__________________________
1
st
Minor
________________________
Department Chair Signature
Print Last Name: ______________
Keep Remove
__________________________
3rd Minor
________________________
Department Chair Signature
Print Last Name: ______________
Keep Add Remove
__________________________
2nd Minor
________________________
Department Chair Signature
Print Last Name: ______________
Keep Add Remove
click to sign
signature
click to edit
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click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
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