| Name_____________________________________________________ |
Major______________________ |
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(First) |
(Last) |
(Middle) |
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| SSN ____ - ____ - ______ |
Degree Sought:
BA ___ BS ___ BAJur ___ |
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| Local address ____________________________________________________________ |
(Zip) ___________________ |
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| Phone: resident___________________________ |
Expected Date of Graduation: _________________
(Quarter and Year)
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business___________________________ |
Email: __________________________________ |
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Have you filed a degree application in the College
of Arts and Sciences: Yes
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No |
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(Note: This form is NOT A
degree application.) |
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If completing two majors, list both below and file a
separate from for each one:
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| 1) ____________________________________ |
2) ______________________________________ |
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Part A. Require Prerequisites (and/or supplementary
requirements) |
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Part B. Major Program (Minimum
grade of “C-“required.
Minimum grade of “C” (2.00)
Core Requirements (Substitutions
are rarely if ever permitted)
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Additional Major Program Courses |
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| Check whether this is: |
original |
revision |
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__________________________________ |
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Signature of faculty adviser
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__________________________________ |
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Name of Faculty Adviser (Please Print) |
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__________________________________ |
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Department |
Campus Phone |
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__________________________ |
| Last revised on 3-17-2005 |
Date |
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