Program of Study Change Request
Student ID Number
Citizen of US:
Current Probation Status
Current Academic Major
Current Academic Department
Current Second Major
Current Academic Minor
Please indicate the changes you would like to enact in your program of study below.
New Academic Major:
Select the new major you would like to have added to your record.
Type of Change (Major):
New Academic Minor or Minor to Remove:
Select the new minor you would like to have added to your record.
Or if you are only seeking to remove your current minor, please list that minor.
Type of Change (Minor):
Add Minor - make no changes in existing program choices but add the newly-selected minor
Remove Minor - remove the Current Academic Minor
Change Minor - remove the Current Academic Minor and replace it with the newly-selected minor
Type of Change (Major)
New Minor or Minor to Remove:
Type of Change (Minor)
I agree with each of the above statements and request that my program of study be adjusted as indicated.