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The University of Texas at Tyler (University of Texas at Tyler)

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The University of Texas at Tyler
Change of Major - College of Nursing and Health Sciences 2/24/2020
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.
NAME: ________________________________________________________________________________________________
(Last) (First) (Middle)
DATE: _______________________________________ STUDENT ID NUMBER: _______________________________
C
URRENT MAJOR: ___________________________
Please check the Major(s) or Emphases/Specializations you wish to declare below.
Advisors: If any Major or Emphasis/Specialization Area indicated below should use requirements effective as of a term
other than the current term, please indicate the requested term and initial in the space beside that value.
Students: If declaring a Double Major or Double Degree, check the appropriate box below:
□ I intend to declare a Double Major, understand the relevant Catalog policy, and have consulted with my
A
dvisor(s).
□ I intend to declare a Double Degree, understand the relevant Catalog policy, and have consulted with my
Advisor(s).
Majors
Major and Associated Degree
Major and Associated Degree
□ Communication Sciences and Disorders – BS
□
Pre-Nursing
Note: Pre-Nursing students are advanced to
the Nursing B.S.N. major only upon request
of the School of Nursing
□ Kinesiology – BS
□ Health Sciences – BS
□
Wellness – BA
Emphasis/Specialization Areas
Emphasis/Specialization
Associated Major(s)
□ Athletic Training
Kinesiology – BS
□ Physical Education EC-12
Kinesiology – BS
□ Community and Health Education
Health Sciences – BS
□ Health Policy
Health Sciences – BS
□ No Sub-Plan
(To remove Sub-Plan)
Signatures/PIN:
(Only College Advisors and University Advising Center Advisors may sign; Faculty Advisor signatures are not valid)
Student: _______________________________________________________________ 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)
R
eturn this form to the One-Stop Service Center (STE 230)
Office Use Only: Student Program/Plan Updated: ____________
Questions regarding data collected may be directed to the Office of the Registrar. (HB 1922)
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The University of Texas at Tyler (University of Texas at Tyler)

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Completed 30 August 2020

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