Change Program/Department Request -

Change of Program/Department Request

First Name

First

Last Name

Last

Address

City

State

Postal Code

Country

I am currently in this program: *

I wish to change to this program: *

I understand (check each box to indicate you have read): *

Both department chairs are aware of my decision.

All courses I have taken in my current program may not count towards the new program.

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If you are human, leave this field blank.

Change Program/Department Request