Office of the University Registrar
Student Union 1, Room 2101
4400 University Drive, MS 3D1
Fairfax, VA 22030
(703) 993-2441, Fax (703) 993-4668
CHANGE/DECLARATION
OF ACADEMIC PROGRAM
_________________ __________________________________ ___________________
Student’s GNumber Last Name, First Name Mason E-mail address
Please check all that pertain to you:
□ I have spoken to my previous major advisor.
□ I have a Mason GPA of 2.0 or higher.
□ My GPA is less than 2.0 and I have spoken with my advisor about ways to improve my GPA.
□ I am making this change because I have been Terminated from my previous major.
□ I have reviewed a “What-If Analysis” Degree Evaluation with my new advisor.
□ I am planning to graduate this semester and I have filed my graduation intent.
□ I am a double major student and I have reviewed the General Education Requirements for both programs.
Why are you making this program change? _____________________________________________________
________________________________________________________________________________________
________________________________________________ __________________
Student’s Signature Date
CHANGE OF MAJOR/CONCENTRATION
New Major:_________________________________________________________________________________
Degree (circle) BA BAS BFA BIS BM BPRE BS BSE BSN BSW
New Concentration: _______________________________________________________________________
New Catalog Year (List only if Changing Catalog Year: ____________________________________________
________________________________________________________________________________________
New Major Advisor’s Name
________________________________________________________________________/_______________
New Major Advisor’s Signature Date
SECOND MAJOR DECLARATION
Notes:
1. Students seeking to graduate with a BA or BS degree in two or more subjects must meet departmental requirements for the
major in each field.
2. For each major, at least 18 credits used to fulfill its requirements cannot be used to fulfill the requirements of another
major, a concentration, a minor, or an undergraduate certificate.
3. The Second Major Catalog Year and Degree type must be the same as the Primary Major.
4. The Undergraduate Second Degree Declaration form must be used to add a secondary degree to a student’s record.
Second Major: ________________________________
Second Concentration: __________________________
______________________________________________
Second Major Advisor’s Name
___________________________________/___________
Second Major Advisor’s Signature Date
Registrar’s Initials: ________/_________ 6/13
