Major/Minor Declaration or Change Form

Major/Minor Declaration or Change Form
1. Complete the following information and click submit.
2. Print and have it signed by the relevant Department Chair(s) or Program Director(s).
3. If you are adding a second major you must include a Four-Year Plan with your major form application submission.
4. Return the signed form to the Registrar's Office, Duffy 112 to complete the process.
Date *

Month Day Year
Student's Name *

First Name Last Name
Student I.D. Number *
Student Email *
Student Phone # *

Area Code Phone Number
Year of Graduation *
A. Current Major(s), Concentration(s) and/or Minor(s):
A1. Current Major and/or Concentration 1 *
A2. Current Major and/or Concentration 2 (choose "None" if not applicable) *
A3. Current Minor 1 (choose "None" if not applicable) *
A4. Current Minor 2 (choose "None" if not applicable) *
B. Updated Major(s), Concentration(s) and Minor(s):

You should list ALL majors and minors as you want it listed after the changes in A (above) are made.

Note: If you are adding a second major you must include a Four-Year Plan with your major form application.
B1. Update or Confirmation of Major and/or Concentration 1 *
B2. Update or Confirmation of Major and/or Concentration 2 *
B3. Update or Confirmation of Minor 1 *
B4. Update or Confirmation of Minor 2 *
Attach a Four-Year Plan here if adding/changing a double major combination (You may also attach it to the signed copy of this form)
Advisor:

Please indicate if you would like to change your advisor.
Are you requesting a change of advisor? *

yes no
Current Advisor Major 1

First Name Last Name
Requested New Advisor Major 1

First Name Last Name
Current Advisor Major 2

First Name Last Name
Requested New Advisor Major 2

First Name Last Name
Should be Empty: