Declaration/Change of Major Request

First Name

Last Name

Student ID

Student email address

Catalog Year

20YY - 20YY

Are you receiving VA benefits?

Academic Majors and Minors Quick Reference

Degree

Major

Concentration or Specialization

(If required)

2nd Major

(If requesting)

Minor

2nd Minor

For BSE Majors Only

Specialization or Teaching Field

Second Teaching Field or Non-Teaching minor

Certification or Plan

For BM Majors Only

Primary Performance Area

Secondary Performance Area

Additional Info

Current Advisor

Check to indicate you have read

If you have not already done so, by checking this box you indicate that you understand that you need to schedule a meeting with your advisor, or the office of Academic Success, to discuss any implications of changing your major. If you are assigned a new advisor, you will be notified of the change.

Comments

Student Signature

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Date