College of Science and TechnologyOffice of the Dean246 Reed HallMorehead, KY 40351Phone: 606.783.2158Fax: 606.783.5039E-mail: firstname.lastname@example.org
This form is to be utilized to add or change an advisor assignment only. If changes to the student's Area, Major, Minor, Pre-Program or Catalog Year accompany the request to add or change an advisor assignment, please use the Request to Change Program of Study form instead of this form.
MSU Faculty/Staff completing form:
Student MSU ID Number without preceding "m":
Student Area/Major/Minor that corresponds with the advisor assignment:
New Advisor Name:
End Previous Advisor Assignment (if applicable)?
Secondary Advisor Name (if applicable):
HI: 63° LO: 46°
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