Fillable Clarion University Of Pa Undergraduate Change Of Status Form printable pdf download

Clarion University Of Pa Undergraduate Change Of Status Form

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Clarion University of PA

Undergraduate Change of Status Form

1. Before changing your curriculum, students should consult with an advisor or department chair (If you are an athlete, please check with Wendy Snodgrass before

changing your major). Certain colleges have entrance requirements; refer to the college web page

2. Students should complete the change-of-status form and submit the change to the department. Venango students should return form to Venango Administration, Room

200, Frame Hall. Venango Nursing students should return form to Room 218, Montgomery Hall. WPHSON return to Pgh Nursing Office. For each departmental change

you must submit a separate form. If you are unsure of where to turn in the form, please check the academic department page at

3. Students must type directly on this form, print, sign, and submit to the department of the new major or minor. Liberal Studies and Undecided majors refer to the Student

Resources page for information on where to turn in the form.

Name

Clarion ID Number

(Area Code) Daytime Phone

(Area Code) Evening Phone

My current major is as follows:

HEALTH SCIENCES

NURS

VENANGO

College/Dept:

ARTS, SCI, & EDUC

BUS & INFO

Degree

Expected date of graduation

Major 1

Concentration(s)

Minor 1

Major 2

Concentration(s)

Minor 2

Indicate whether you are requesting to add, change, or drop in the space before the bold areas below

major:

Name of Major

Name of Concentration

College

Degree

major:

Name of Major

Name of Concentration

College

Degree

major:

Name of Major

Name of Concentration

College

Degree

concentration:

2nd concentration:

Name of Concentration

minor:

2nd minor:

Name of Minor

pre-professional program:

Name of Pre-professional Program

Change campus:

Clarion

Venango

Pittsburgh

Online

Change advisor from

Change advisor to

(Suggestions are taken into consideration, but are not guaranteed)

I certify I have reviewed my degree requirements and consulted with my advisor regarding these changes. I understand that changing my status may

impact my graduation date or requirements.

Print Form

Student Signature

Date

Form will not be processed without student signature

For office use

Dept. Signature ____________________________________ Date_______________________ Catalog year_______________ QPA__________

Degree Plan

Copy

Delete

Add_______________________________________________________

Name of Advisor Assigned_______________________________________________

Advisor ID Number______________________________

After completing this area, please return to the Registrars Office.

Office of the Registrar - Clarion University of Pennsylvania 11/2015

Clarion University Of Pa Undergraduate Change Of Status Form

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