Revised: 5/2017
Complete all applicable areas to authorize the Office of Admission to amend your application for admission.
Once you click Submit, it will open your email browser with the form attached. Please use the email listed on
your application or your Brandman student email account (i.e. studentemail@mail.brandman.edu). The email
is received by the Office of Admission at apply@brandman.edu for processing.
PLEASE NOTE: This form is not to be used for adding institutions omitted from your application. If you
inadvertently left off any institution(s) from your application, please use the Application Addendum provided to
you on the MyBrandman Portal, under the Student tab:
https://my.brandman.edu/student/Petitions/Lists/addendum/Item/newifs.aspx. To access the form, you will
need your Brandman username and password which was provided to you when your application was
submitted.
APPLICANT INFORMATION
Last Name: First Name:
Email Address: Student ID:
REQUESTED CHANGE
Please make the following change(s) to my application for admission:
CAMPUS: I wish to change my application to the following campus.
Campus
ACADEMIC PROGRAM: I selected the wrong academic program on my application and wish to change
the program on my application to:
Degree Program
TRIMESTER: I wish to revise the trimester selected on my application to:
Spring Summer Fall of the Academic Year:
OTHER REQUESTS:
AUTHORIZATION: By submitting the Application Addendum, I certify that I am the individual identified on this
form and I authorize the Office of Admission to make the changes listed to my original application. I
acknowledge that the information is true and correct.
Signature: Date:
