N
E-mail Address
Foreign Student
Permanent Resident U.S. Citizen
A.
FROM: TO:
Ph.D.
M.S.
B.
Approved Denied
Conditions (if any):
Approved Denied
Conditions (if any):
New Department Adviser
Approved
Denied
Conditions (if any):
Effective Date:
Net ID
Date
Registrar's Office Signature Date
Semester - Year
Racquel Cooper/Joseph Anderson
Graduate Academics DateSignature
From To
Signature
Existing Department Adviser
As adviser for the program I have reviewed the student's academic record and have determined that the student meets
the admission requirements for the new the program.
DateSignature
Request to Change Major
Graduate Academics
CHANGE MAJOR
CHANGE DEGREE
Signature
Date
Academic Home Department
REQUESTED CHANGES: Please type! Handwritten forms will not be accepted.
M.S.
INSTRUCTIONS
Use this form to change your major or degree program. Once the form has been approved and signed by your current
adviser and the adviser of your new program, please bring the form to the Office of Graduate Academics (room 212 in
the Dibner Library Building) for final approval and processing.
STUDENT INFORMATION: Please type! Handwritten forms (except for the signature) will not be accepted.
Telephone Number
ADMINISTRATIVE ACTION
First Name
Last Name
Univ. ID#
STUDENTS: DO NOT WRITE BELOW THIS LINE
Note: This form cannot be used to
change from a Certificate to an M.S.
program, nor from an M.S. to a Ph.D.
program. In both cases the student
must formally apply to the program.
___________________
Certificate
_______________
click to sign
signature
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signature
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signature
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signature
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signature
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