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***Please return this form to the Center for Academic Advising, Campus Center 242.***
S
tudent Name: ___________________________________________ Z#:__________________________
D
ECLARATION OR CHANGE OF MAJOR
Please meet with a faculty member in your new major to discuss the academic details of the major.
Changing fr om: _______________________________ with a concentration in_________________________
Changing to: _______________________________ with a concentration in _________________________
Which degree are you declaring?
□ BA □ BS □ BSN □ BFA
Name of faculty member in new major (please print): ______________________________________
Signature of above faculty member: ______________________________________
DECLARATION OR CHANGE OF MINOR
Please meet with the coordinator of your new minor to discuss the academic details of the minor.
Please check the box that indicates the type of change you would like to make:
□ Declaring my first minor in: __________________________________________
Signature of minor coordinator: __________________________________________
□ Declaring my second minor in: __________________________________________
Signature of minor coordinator: __________________________________________
□ Dropping my minor in: __________________________________________
C
HANGE OF PRECEPTOR
Print new preceptor’s name: _________________________________________
New preceptor’s signature: _________________________________________
New preceptor’s Z#: _________________________________________
S
tudent signature: _________________________________________________ Date: ______________
***Please return this form to the Center for Academic Advising, Campus Center 242.***
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Completed 25 August 2020

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