Declaration or Change of Major, Minor, Degree or Change of Advisor

Declaration or Change of Major, Minor, Degree or Change of Advisor Office of the Registrar Complete this form to request a declaration or change of majors, minors or degrees. You may also use this form to change your advisor. Turn the completed form in to the registrar’s office (suite 204 in Main Building). Name _________________________________________________________ ID No. ____________________ Street Address or Campus Box _________________________________________________________________ City __________________________________________ St _____________ Zip _________________________ Local or Cell Phone (_________) ________________________________________ I am requesting that: My 1st major be recorded as: ______________________________ My 2nd major be recorded as: ______________________________ My 3rd major be recorded as:______________________________ My minor(s) be recorded as:_____________________________________________________________ My desired degree be recorded as:  BA

 BS

 BME

My advisor be changed to: ______________________________________________________________

I wish to drop the following Major:________________________________________________________ I wish to drop the following Minor:_______________________________________________________

Processing: Major/Minor/Degree Change processed by: __________________________________ Date: ________________________________ _____ Notified L. Alley of change for advisor reassignment Date: _____________________________________________________ New Advisor:_________________________________________________________________________________________________