CHANGE OF MAJOR FORM

PART 1:  Student should complete Part 1

STUDENT’S NAME: _______________________________  UMID#: _______________________

CURRENT MAJOR: _____________________  CURRENT ADVISOR: ___________________


PART 2:  Personnel in new department should complete Part 2

NEW MAJOR: ____________  NEW ADVISOR: _________________  DEGREE: ___________

 MINOR: _________________  TERM TO APPLY CHANGE: ____________________

CONCENTRATION: ________________________________

ELIGIBLE: _________________________________________  DATE: _____________________
                       (If eligible, signature of Dept. Chair is required)
*****please stamp with Departmental Approval Stamp  __________________________________


PART 3:  To be completed by the Records Office

DATE RECEIVED: __________________  DATE CHANGED: ___________________

DATE PREVIOUS ADVISOR NOTIFIED: ____________________________________

NEW MAJOR:						OLD MAJOR:
Screen 110:	_____		Screen 111:	_____		Screen 110:	_____
College	_____		College	_____		Exit term	_____
Degree	_____		Degree	_____		Exit Action	_____
Major	_____		Major	_____
Class	_____		Minor	_____
Residency	_____		Concentration	_____
Entry Term	_____
Entry action	_____		Screen 119:	_____
Catalog	_____		New Advisor	_____

Double Major Approved _________________________________________________

04-12-2002