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Change of Program Form

This document is a Change of Program Form for students wishing to change their academic department or program. It requires the student's name, current and proposed departments and programs, reason for the change, and necessary signatures from the student, academic advisor, and program chairs. The form must be submitted to the Office of the Registrar two days before the registration date for the desired semester change.

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tommyphillips301
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41 views2 pages

Change of Program Form

This document is a Change of Program Form for students wishing to change their academic department or program. It requires the student's name, current and proposed departments and programs, reason for the change, and necessary signatures from the student, academic advisor, and program chairs. The form must be submitted to the Office of the Registrar two days before the registration date for the desired semester change.

Uploaded by

tommyphillips301
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Student Name: Click or tap here to Thoenter Click or tap here to enter text.

re to enter text. Click or tap here to enter text.


text.
Last Name First Name Middle Name

CURRENT DEPARTMENT: Click or tap here to enter text.

CURRENT PROGRAM: Click or tap here to enter text.

PROPOSED DEPARTMENT OF CHANGE: Click or tap here to enter text.

PROPOSED PROGRAM OF CHANGE: Click or tap here to enter text.

Reason for seeking Program Change: Click or tap here to enter text.

SIGNATURES:

Student: Click or tap to enter a date.

[mm / dd / yyyy]

Academic Advisor: Click or tap to enter a date.

[mm / dd / yyyy]

Academic Dean:

Current Program Chair’s Approval Proposed Program Chair’s Approval

Click or tap to enter a date. Click or tap to enter a date.


[mm/dd/yr] [mm/dd/yr]

Deadline: Submit this form to the OTR no later than TWO days prior to the scheduled registration date
for the semester of desired change.

I understand that the program change becomes effective in the semester following the submission
of this program change form and that all my previous grades will be carried forward in the
calculation of any subsequent cumulative grade point average.

Received at OTR

Registrar DATE [mm / dd / yr]

Semester in which program change is to be effected:

CHANGE OF PROGRAM FORM

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