3/19/2020
Notice about Information Laws and Practices
With few exceptions, you are entitled on your request to be informed about the information The University of Texas at Tyler collects about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are
entitled to receive and review the information. Under Section 559.004 of the Texas Government Code, you are entitled to have The University of Texas at Tyler correct information about you that is held by us and that is
incorrect, in accordance with the procedures set forth in The University of Texas System Business Procedures Memorandum 32. The information that The University of Texas at Tyler collects will be retained and maintained
as required by Texas records retention laws (Section 441.180 et seq. of the Texas Government Code) and rules. Different types of information are kept for different periods of time.
The University of Texas at Tyler
Change of Core Curriculum Requirements
Please Print All Information
NAME: _______________________________________________________________________________________
(Last) (First) (Middle)
STUDENT ID NUMBER: _______________________ PHONE NUMBER: ____________________________
CURRENT MAJOR(S): _________________________________________________________________________
CURRENT CORE CURRICULUM REQUIREMENTS: ______________________________________________
(ex. 2012-2014, 2016-2017)
Core Curriculum Requirements Requested: _____________
Student Acknowledgements:
I understand and verify by my signature below that:
I will be subject to all aspects of the newly elected Core Curriculum Requirements indicated above.
I have discussed the impacts of this change on my overall degree plan with my College Advisor(s).
If I am a Double Major (Ex. B.A. in English and Spanish) or Double Degree (Ex. B.B.A. in Accounting and
B
.S. in Mathematics) this document must be approved by my College Advisor for each major/degree.
Student Signature/PIN: _______________________________________ Date: _________________
Advisor Approvals:
(Only College Advisors and University Advising Center Advisors may sign; Faculty Advisor signatures are not valid)
Student/PIN:___________________________________________________________ Date: ________________
International Counselor: _________________________________________________ Date: ________________
(Required for all International students)
Athletics Advisor or Director of Compliance: ________________________________ Date: ________________
(Required for all student athletes)
College Advisor: ________________________________________________________ Date: ________________
Second College Advisor: _________________________________________________ Date: ________________
(Required for Double Major / Double Degree students)
Return this form to the One-Stop Service Center (STE 230)
Office Use Only: Files Updated: ____________
Questions regarding data collected may be directed to the Office of the Registrar. (HB 1922)
