C:\Users\jalbert\Desktop\Add Program Form.doc 02/2007
Request to Add a Program to Current Graduate Program
School of Graduate Studies and Research
310 Scotland Road, Suite 140 Butterfield Hall
Edinboro, Pennsylvania 16444
814-732-2856 or 1-888-845-2890
Name: _______________________________________ Banner # @_________________
Address: _______________________________________________________________
Street City State Zip
Phone: ______________________________ Email: _____________________________
CURRENT PROGRAM: ___________________________________________________
Concentration (if applicable): _______________________________________________
Name of your advisor:
PROGRAM YOU WISH TO ADD: ___________________________________
Concentration (if applicable): _______________________________________________
Semester/Session in which you wish to add program :____________, 20___.
Signature of Applicant Date
RETURN ORIGINAL FORM TO THE GRADUATE OFFICE.
Approval of all changes must be made by the Dean of Graduate Studies and Research
and by your department head. The Graduate Office will send a letter of notification
regarding approval or disapproval to you.
If you have any questions, please feel free to contact the Graduate Office.
Please Note: Changes made to programs of study may require additional application
materials in order to be accepted into a different program. For example, letters of
reference, resume, statement of purpose, etc. may be required by the department.
Information regarding admission requirements may be accessed at EUP’s website
(http://www.edinboro.edu/cwis/acaff/gradstudy/index.htm) or in the Graduate Office.
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