Request to Change Graduate Program of Study
Substitute with the following courses:
Course Number
Course
Title
Semester
Hours
12/08/06
Remove the following courses:
Course Number
Course
Title
Semester
Hours
Directions:
Changes in program other than courses:
The Graduate School
1501 W. Bradley Ave.
Peoria, IL 61625
Phone: (309) 677-2375
Fax: (309) 677-3343
E-Mail: bugrad2@bradley.edu
Web site: www.bradley.edu/grad
1. Meet with your academic advisor/coordinator to discuss your program changes.
2. Complete the information on this form.
3. Sign the original form.
4. Obtain your program coordinator's signature, and ask that he/she retain a copy.
5. Deliver the completed original form to The Graduate School and retain a copy for your records.
Name:
Family/Last
Given/First Middle/Other Maiden
BU ID#:
Mailing Address:
City:
State:
Zip Code:
Country:
Home Phone: Work Phone: E-mail Address:
Department: Program:
This is a change in my total credit hours from hours to
hours.
(Include Area Code)
(Include Area Code)
I,
, understand that the changes on this form constitute a change in the requirements for
completion of my degree or certificate.
Graduate Coordinator Signature:
Student Signature:
Date:
Date:
