Request for Change of Catalog Year
Email completed form with signatures to
585 Cobb AvenueMD 0112 Kennesaw Hall Room 3422 Kennesaw, GA 30144-5591
Phone: 470-578-6738Fax: 470-578-9110
Name: KSU ID#:
Phone Number: KSU Email:
Graduate Program:
Major: Concentration:
Term and Year Entered Graduate College:
Catalog Year you wish to change to:
Petitioned to Graduate: Yes
I have reviewed the degree program for my major and, if applicable, concentration and would
like to continue my studies under the new catalog year listed above. I understand that by
choosing to switch to the new catalog year, I am required to meet ALL graduation
requirements including any program GPA requirements for that program for that year.
Student Signature: Date:
Program Director Signature: Date:
Approved Denied Initials Date
Comments: _________________________________________________________________________