DECLARE OR CHANGE ADVISOR, MAJOR, MINOR OR PROGRAM
      -     -        
Student I.D. Number

Name ________________________________________________________ DATE____/____/____
Last First Middle

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

DECLARE
Second Major Minor/Program/Concentration
2nd Major_____________________________________ Minor_________________________________________

2nd Major/Minor Advisor
________________________________________ ________________________________________
Second Advisor Name Second Advisor Signature