(04/18)
UNDERGRADUATE PROGRAM CHANGE FORM
STUDENT INFORMATION:
Student #:
Street Address:
Last Name:
Apt. Number:
First Name:
City:
BU Email:
Province:
Phone #:
Postal Code:
DEGREE CHANGE:
From:
3-Year
4-Year
4-Year Honours
3-Year
4-Year
4-Year Honours *
* All students wishing to enter a four-year Honours program in any discipline for a Faculty of Science degree or in ADES, Geography
or Psychology for a Faculty of Arts degree must also complete the Application for Admission to the Four-Year Honours degree
.
MAJOR OR MAJOR STREAM DECLARATION/CHANGE:
If you are declaring, adding or removing a major that offers multiple streams/concentrations, be sure to indicate the major and the
specific stream/concentration.
Current Major(s):
Add Major/Stream: Remove Major/Stream:
Add Major/Stream: Remove Major/Stream:
MINOR DECLARATION/CHANGE:
Current Minor(s):
Add Minor: Remove Minor:
Add Minor: Remove Minor:
Add Minor: Remove Minor:
SIGNATURES:
In signing below, the student acknowledges having read and understood the ways in which personal information is collected
and used at Brandon University, as described at Personal Information Collection/Disclosures
.
Student:
Date:
Exiting Faculty/School:
Date:
Required only if leaving Education, Health Studies or Music degree for another Faculty/School
Entering Faculty/School:
Date:
Required only if new degree is in different Faculty/School than exiting degree; not required
for entering Faculty of Arts
Comments: ________________________________________________________________________________________________________
Submit completed form to Financial & Registration Services, 2
nd
Floor, Clark Hall, 270-18
th
Street, Brandon MB R7A 6A9
Phone: 204-727-9724 or 204-727-7313 Fax: 204-726-4573 Email: finreg@brandonu.ca