Revised8/10
Saint Louis University
Petition to Amend the Graduate Program
INSTRUCTIONS: The student is to complete the first section of this form and sign it and submit this form to the chairperson or program director
within the current or proposed major field. If a change in the major field of study is requested, a new classified application may be required. This
form is not
to be used to advance from Probationary to Classified status or if seeking doctoral admission in the major field upon completion of
master’s degree. See other forms for these petitions.
Please print:__________________________________________________________ _______________________
(Last Name) (First Name) (Middle Initial) (Banner ID)
Local Address:_________________________________________________________________________________
(Street, Apt) (City) (State) (Zip Code)
E-mail Address:_____________________________________ Local Phone No._____________________________
I am presently enrolled in the _________________ degree program with a major in__________________________.
change my major field of study to_______________________________________________________________
change my concentration to____________________________________________________________________
retain my major field, but change my degree sought to the ______________________________________ degree
add delete the following formal minor field:____________________________________________________
Signed:______________________________________________________ Date:___________________________
Recommendation from the Present/Proposed Department/School
If the student proposes to change major fields, both this section of the petition and the “Recommendation from the Proposed Major Field” form
must be completed by the proposed major field chairperson/program director.
Petition is approved denied
Remarks:_____________________________________________________________________________________
Signed:_________________________________ Title:__________________________ Date:________________
Recommendation of Proposed Minor Field (no change in major fields has been requested):
I recommend approval denial of the proposed minor field.
If recommending approval, the following courses fulfill prerequisites:
_____________________________________________________________________________________________
Signed:_________________________________ Title:__________________________ Date:________________
Petition is approved denied by Dean/Director/Designee
Remarks:_____________________________________________________________________________________
Signed:_____________________________________________ Dean/Director/Designee
Copies sent to Student Advisor Chairperson/Director Registrar on __________________________
(Date)
Banner update complete:_________________________________ (Date)
