CHANGE OF STUDENT

ACADEMIC STATUS

Date ____________                               Student ID# _______________

Student Name _____________________________________________

Office Use Only:  Computer: ____  Guidesheet: _____  Admissions: _____

DECLARATION or REAFFIRMATION OF MAJOR

(Fill out this section each time this form is used.)

All students must declare a major by the end of the sophomore year.

Major          1.       ______________________________________________

2.                 ______________________________________________

Minor          1.       ______________________________________________

2.       ______________________________________________

Advisor       1.       ______________________________________________

2.                 ______________________________________________

          CHANGE OF MAJOR (Fill out this section only if applicable.)

Please attach a curriculum plan for completion of the new major and an

academic audit if changing or adding majors after the sophomore year.

Major/Minor/Emphasis/Certification      Dropped  __________________________________

Major/Minor/Emphasis/Certification      Added ____________________________________

       CHANGE OF ADVISOR (Fill out this section only if applicable.)

Signature of Current Advisor _____________________________________

Signature of New Advisor ________________________________________

Signature of Second Advisor (if student is a double major) _____________________

Signature of TEP Advisor (when student is admitted into the TEP) _________________

Advisor Comments _____________________________________________

_____________________________________________________________

Student Comments _____________________________________________

_____________________________________________________________

Return completed form to the Registrar's Office. Revised 11/2004