Change Of Advisor/major/minor/concentration

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Change of Advisor/Major/Minor/Concentration
Name _____________________________________ ID# ___________________ CPO _____
Class (circle one): 1 2 3 4
Check all that apply and fill out appropriate section:
____ Add or change major ____ Add second major ____ Add minor
____ Add second advisor ____ Add concentration
____ Change advisor
____ Drop second major
____ Drop minor
____ Drop second advisor
____ Drop concentration
Student's signature_________________________________
Date__________________________
Your signature indicates that you have read the instructions and policies on the reverse.
ADD OR CHANGE MAJOR (A completed “Curriculum Plan for Declaration of Major” form must be submitted with this
form.)
Present Major ________________________________
New Major_______________________________
Signature of Dept. Chairperson of New Major ________________________________
Date___________________
If changing advisors, please complete Change of Advisor section; if not changing advisors, the following signature is needed:
Primary Advisor (please print)_________________________ Signature_______________________________ Date______________
ADD (Check all that apply.) (A completed “Curriculum Plan for Declaration of Major” form must be submitted with this
form.)
____ Second Major: _________________________________
____ Minor: _______________________________________
____ Concentration: _________________________________
____ Teacher Certification
Signature of Chairperson of Second Major, Minor, Concentration or Education Studies Department:
Chairperson (please print) __________________________ Signature _____________________________ Date________________
Primary Advisor (please print) ______________________ Signature _____________________________ Date________________
DROP (Check all that apply.)
____ Second Major: _________________________________
____ Minor: _______________________________________
____ Concentration: _________________________________
____ Teacher Certification
Signature of Chairperson of Second Major, Minor, Concentration or Education Studies Department:
Chairperson (please print) __________________________ Signature _____________________________ Date________________
Primary Advisor (please print) ______________________ Signature _____________________________ Date________________
CHANGE PRIMARY ADVISOR:
Present Advisor (please print)____________________________________________________
Present Advisor's Signature______________________________________________________ Date___________________
New Advisor (please print)______________________________________________________
New Advisor's Signature________________________________________________________ Date____________________
ADD/DROP SECOND ADVISOR Circle one: ADD DROP
Second Advisor (please print)_____________________________
Second Advisor's Signature_______________________________
Date__________________
Banner Date & Init: Adv ___________________ Major/Minor _____________________ Init ________

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