Graduate Application Change Form - Texas Tech University (Page 2 of 3) in pdf

Graduate Application

Applicant Name: _________________________________________________________

Change Form

PAGE TWO

TechID Number: _________________________________________________________

SECTION ONE – ADD/CHANGE CURRENT APPLICATION

My previous Graduate School application program of study was:

Degree

____ Master’s Degree

____ Doctoral Degree

Area of Study ______________________ (Required)

Primary Concentration: _____________________________

Secondary Concentration: _____________________________

NOTE: Some degree programs require a minimum of one concentration. Please contact your prospective department to determine if you need to enter a concentration.

Non-Degree

____ PGRD

____ GTMP

____ CERT*

____ FCSC

____ CPED*

____ GCRT*

*=Concentration required

Concentration __________________________________

Campus Location: ____ Lubbock

____ Distance Education

____ Other (Please specify): ________________________________

CURRENT TTU UNDERGRADUATES ONLY: Is this a 150-hour program? ___ Yes ___ No

Check one: I wish to ____ ADD

or ____ CHANGE to the following program:

Degree

____ Master’s Degree

____ Doctoral Degree

Area of Study ______________________ (Required)

Primary Concentration: _____________________________

Secondary Concentration: _____________________________

NOTE: Some degree programs require a minimum of one concentration. Please contact your prospective department to determine if you need to enter a concentration.

Non-Degree

____ PGRD

____ GTMP

____ CERT*

____ FCSC

____ CPED*

____ GCRT*

*=Concentration required

Concentration __________________________________

Campus Location: ____ Lubbock

____ Distance Education

____ Other (Please specify): ________________________________

CURRENT TTU UNDERGRADUATES ONLY: Is this a 150-hour program? ___ Yes ___ No

SECTION TWO – REQUEST TO CHANGE THE INITIAL ENTRY DATE FORM

What was your previous application program of study? Check one.

Degree

____ Master’s Degree

____ Doctoral Degree

Area of Study __________________________________ (Required)

Primary Concentration: _____________________________

Secondary Concentration: _____________________________

NOTE: Some degree programs require a minimum of one concentration. Please contact your prospective department to determine if you need to enter a concentration.

Non-Degree

____ PGRD

____ GTMP

____ CERT*

____ FCSC

____ CPED*

____ GCRT*

*=Concentration required

Concentration __________________________________

Campus Location:

____ Lubbock

____ Distance Education

____ Other (Please specify): ________________________________

Have you attended or earned credit at another college/university since applying to Texas Tech University?

___ Yes ___ No

If yes, list below. An official transcript is required.

______________________________

__________________

_________

__________

________________

College

City, State

From (MM/YY)

To (MM/YY)

Degree Received

CURRENT TTU UNDERGRADUATES ONLY: Is this a 150-hour program? ___ Yes ___ No

SECTION THREE – REQUEST TO BE READMITTED TO TEXAS TECH UNIVERSITY

To what program of study do you wish to be readmitted?

Degree

____ Master’s Degree

____ Doctoral Degree

Area of Study __________________________________ (Required)

Primary Concentration: _____________________________

Secondary Concentration: _____________________________

NOTE: Some degree programs require a minimum of one concentration. Please contact your prospective department to determine if you need to enter a concentration.

Non-Degree

____ PGRD

____ GTMP

____ CERT*

____ FCSC

____ CPED*

____ GCRT*

*=Concentration required

Concentration __________________________________

Campus Location:

____ Lubbock

____ Distance Education