Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091 / Student Services Center, First Floor Rm E-101 / Phone: (808) 932-7447 / Fax: (808) 932-7448 / E-mail: uhhro@hawaii.edu
• This form is to be completed by the undergraduate student to make changes to or to declare their major, minor, option, or campus based
certificate.
• This form and the Catalog Declaration form must both be approved and submitted to add a degree pathway option not offered under
student’s eligible catalog.
• Student athletes declaring or changing their major must obtain approval from the Athletics Academic Advisor.
• After all necessary signatures are obtained; submit this form to the Office of the Registrar.
*Note: This form is not intended for the following students: graduate, unclassified (non-degree), changing from Pre-Nursing to Nursing or
Pre-Pharmacy to Pharmacy, or changing student level (undergraduate to graduate)
Revised 11/2018
SECTION I: Student Information
Student Name: ____________________________________________________ Student ID: ____________________________
Email Address: _________________________________________@hawaii.edu Phone: _________________________________
I have applied for graduation I am receiving Veteran Benefits I am a student athlete
Current Major(s) and Specialization(s): _______________________________________________________________________________
Current Minor(s) and Campus Based Certificate(s): _____________________________________________________________________
SECTION II: Changes/updates to program(s)
Only programs listed below will be indicated on your student record
BA Degree in (list major): ___________________________________________ Option: _________________________________
BBA Degree in (list major): __________________________________________ Option: _________________________________
BS Degree in (list major): ___________________________________________ Option: _________________________________
Minor: ______________________________________________________________________________________________________
Campus Based Certificate (list program): ___________________________________________________________________________
Student Signature: _________________________________________________________ Date: ____________________________
FOR OFFICE OF THE REGISTRAR USE ONLY:
Initial: ______________ Date: _______________
SGASTDN SHADGMQ SFAREGS SGAADVR
Degree(s) __________ __________ __________
Major(s) __________ __________ __________
Specialization(s) __________ __________ __________
Minor(s) __________ __________ __________
Certificate(s) __________ __________ __________
Catalog __________ __________ __________
SGASADD ___________ __________ __________
SECTION III: Approval: Student athletes only – Athletics Academic Approval
1. Student athletes changing their major(s) must obtain approval from the Athletics Academic Advisor in the Athletics Department.
___________________________________________________ ___________________________________________ ________ _________________________________
Printed Name of Athletics Academic Advisor Signature of Athletics Academic Advisor Date
