MONTANA STATE UNIVERSITY BILLINGS
REQUEST TO MAKE CHANGE IN PLAN OF STUDY
INSTRUCTIONS: If the change involves a transfer course you are planning to take, you must provide the course description and an
official transcript when the course has been completed at a grade of “B” or better. Courses may not be removed from a program of
study once a grade has been received in that course. When approved, signed copies of the request will be distributed to the student,
advisor, and unit chair. If disapproved, you will be notified in writing. PLEASE PRINT OR TYPE.
___________________ ________________________
Date Student ID #
_____________________________________________________________________________ _____________________
Last Name First Name Middle and/or Maiden Name Telephone #
Email Address: ____________________________________________________ Degree ___________________________________________
Remove:
Rubric
Crs #
Course Title
Credits
Year
Semester
Add:
Rubric
Crs#
Course Title
Credits
Year
Semester
Approval:
_____________________________________ _____________ _________________________________ ____________
Student Date Advisor Date
_______________________________________ ________________ _____________________________________ _____________
Unit Chair/Chair Date Dean Date
Reviewed by:
___________________________________ ______________
Graduate Studies Director Date
Revised 2014
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