Fillable REQUEST TO REMOVE Minor, Dual Major or Dual (State University of New York at Farmingdale)

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REQUEST TO REMOVE Minor, Dual Major or Dual (State University of New York at Farmingdale)

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Registrar’s Office, August 2016
REQUEST TO REMOVE
Minor, Dual Major or Dual Degree
This form is to be used if you do not intend to complete the requirements for your Minor, Dual degree or Dual major
Return signed and completed form to Registrar’s Office, Laffin Hall, Room 225
STUDENT INFORMATION
First Name: ____________________ Last Name: _____________________ RAM # _____________
Primary Degree/Major: ________________________________
Student’s Signature: ________________________________ Telephone # ___________________
SECTION I – To be completed if removing a Minor
List name of Minor to be removed: _________________________________________________________
MINOR Chairperson’s Signature
______________________________ _______________________________ Date: ________________
(Print name) (Signature)
SECTION II – To be completed if removing a Dual Major
List name of Dual Major to be removed: ____________________________________________________
DUAL MAJOR Chairperson’s Signature
______________________________ _______________________________ Date: ________________
(Print name) (Signature)
SECTION III – To be completed if removing a Dual Degree
List name of Secondary Degree/Program to be removed: _________________________________________
DUAL DEGREE Chairperson’s Signature
______________________________ _______________________________ Date: ________________
(Print name) (Signature)
Registrar’s Office, March 2020
Return signed and completed form to Registrar’s Office, Laffin Hall, Room 225
or return to Regoffice@farmingdale.edu
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REQUEST TO REMOVE Minor, Dual Major or Dual (State University of New York at Farmingdale)

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Completed 1 October 2020

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