Saint Louis University
Petition to Amend the Graduate Program Minor
INSTRUCTIONS: The student is to complete the first section of this form, list the courses approved for the minor and sign it.
The student must then submit this form, for approval, to the director of the minor program within the current or proposed minor
field. Then the student would take the form to the Associate Dean/Director for Graduate Education in the College or School
that oversees the minor field. If the student has a major field outside of the department administering the minor field, then the
student must also submit this form, for approval, to the advisor/mentor of the major field and to the Associate Dean/Director
for Graduate Education in the College or School that oversees the major field.
Please complete the following information:
(Last Name)
(First Name)
(Middle Initial)
(Banner ID)
(Local Address Street, Apt #)
(City)
(State)
(Zip Code)
(E-mail address)
(Local Phone Number)
(Advisor/Mentor)
(College or School)
(Department)
(Major / Concentration)
(Degree, e.g. PhD, MA)
(Add)
(Name of formal minor)
(Effective year)
(Effective semester)
(Delete)
(Name of formal minor)
(Effective year)
(Effective semester)
Courses
Course Call #
Course Title
Date taken
Prerequisite(s) (if any)
Approved Courses
________________________________________________
Student Signature Date
By signing, you are recommending approval or deletion of the proposed minor field.
Graduate Program Director Signature
Date
Graduate Associate Dean or Director Signature
Date
(college/school/center, minor field)
Advisor/Mentor Signature
Date
Graduate Associate Dean or Director Signature
Date
(college/school/center, major field - if necessary)
After all signatures completed, this form should be sent to the Registrar for updating on Banner.
Banner update complete on ___________________________________ (date).
Copies sent to Student; Advisor/Mentor; Program Director; Assoc. Dean; Registrar on ____________ (date)