Request to Change Academic Information

Name (Last, First)*

ID# or Last 4 digits of SSN*

Email*

Phone: (h/m)*

Current Degree*

I hereby request an official change of*

Declaring Major	Declaring Double Major	Switching to most Current Degree Plan
Program (Major or Specialization)	Minor (Change or Declare)	Change to most current catalog year

Please describe in detail your request below*

I understand that changes to my academic program may affect my course requirements. I am aware that I must complete all requirements for the program I have indicated above.

By clicking submit I confirm my electronic signature and approve this request.