College of Science and TechnologyOffice of the Dean246 Reed HallMorehead, KY 40351Phone: 606.783.2158Fax: 606.783.5039E-mail: email@example.com
PLEASE COMPLETE THE FORM IN ALL CAPITAL LETTERS. If the only change requested is a change in advisor assignment please use the Advisor Assignment form. *If the student's current primary academic program is outside the College of Science and Technology a paper Student Request to Change Program of Study form is initiated by the College Recruitment and Retention Coordinator and partially completed in the academic department of the new primary academic program.
MSU Faculty/Staff completing form:
Student MSU ID Number without preceeding "m":
Catalog Year: Advisor:
Minor or Pre-Professional Program Code:
Minor Catalog Year: Minor Advisor Assigned:
Any Additional Area/Major/Minor
Catalog Year: Additional Advisor:
Student Reason(s) for Requesting Change:
PRIMARY Type of Change:
HI: 39° LO: 33°
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