DECLARE OR CHANGE ADVISOR, MAJOR, MINOR OR PROGRAM

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Student I.D. Number

Name	________________________________________________________			DATE____/____/____
	Last	First	Middle

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CHANGE

Major

Advisor

From	________________________________________	To	________________________________________
	Old Advisor or Major		New Advisor or Major
	________________________________________		________________________________________
			New Advisor's Signature (required if changing advisors)

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DECLARE

Second Major

Minor/Program/Concentration

2nd Major_____________________________________

Minor_________________________________________

2nd Major/Minor Advisor

________________________________________	________________________________________
Second Advisor Name	Second Advisor Signature