Declaration or Change of Program of Study
______________________________________________________________________
Note: This form cannot be used for entry into Selective Admission Programs.
This form is not required if change is entered online by a Faculty Advisor/Counselor.
Submit completed form to Office of Admissions and Records for processing.
Name ______________________________________________________ Student ID
M-
__________________________
New Curriculum Title ___________________________________________
Catalog Year Being Followed for Graduation ________________________
Office Use Only
Initial and Date:
ES 04/02/13
____________________________________________
Student Signature
New Curriculum Code___________________
No
Yes. If Yes, notify your International Student Coordinator of this change.
Are you an F1 Student?
Yes
No
Are you changing majors?
Yes
No
Are you submitting this form to double major?*
Second Curriculum Title_________________________________________
Second Curriculum Code____________
*Effective Fall 2013, students seeking a second degree will be required to complete an additional 15 credits after the first degree.