Fillable Request For An Addition/change Of Major Or Minor Form printable pdf download

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Addition/Change of Major or Minor

Students with 90 or more Earned units



Office of the Registrar

One Washington Square

San José, CA 95192-0009

Instructions

1. Please type directly into each field.

2. Provide all documentation and obtain all required signatures or your request will be returned.

3. Submit a personal statement on how the change of major or minor will affect your graduation. You can attach your personal statement or

write it on the back of this form.

4. Submit this form to Academic Advising and Retention Services in the Student Services Center (SSC) after obtaining all signatures.

IMPORTANT: Newly admitted students may not apply for a change of major until the first day of instruction.

SJSU ID

_____________

Last name

__________________

First

__________________

Middle

_____________

Contact Information: Phone# (cell preferred)

______________

SJSU Preferred E-mail Address: _________________________

Current Major/Concentration:

Current Minor:

_____________________________

___________________________________

Type of Degree Requested (BS, BA, BFA or BMus):

__________________________________________________________

Proposed Graduation Term/Year: ___________

Have you applied for graduation?  Yes (or in progress)  No If no, new major advisor’s signature _______________________________

Attach Required Documentation:

1.  Major/ Minor form(s) for current major/minor and requested major/minor (as applicable)

2.  Personal Statement

3.  Copy of unofficial transcript printed from MySJSU

4.  Fill in the following information:

Earned Units (UE) from 2 year institution (If this number is 70 or above, please put 70)

Earned Units (UE) from 4 year institution (other than SJSU)

Earned Units (UE) from AP/IB scores, military credit, etc.

Earned Units (UE) at SJSU

TOTAL EARNED UNITS

For approval of your new or added Major/Minor, the following signatures are required from your new Major/ Minor Department(s). This

request is valid for one month after the date of the first signature.

1. Check box(es) that apply to you:

 New Major Objective:

Major Advisor’s or Chair/Director’s Printed Name/Signature/Date

 Additional Major Objective:

(Double Major)

Major Advisor’s or Chair/Director’s Printed Name/Signature/Date

 New Minor Objective:

Minor Advisor’s or Chair/Director’s Printed Name/Signature/Date

 Additional Minor Objective:

(Double Minor)

Minor Advisor’s or Chair/Director’s Printed Name/Signature/Date

2._____________________________________________________________3._________________________________________________________

Department Chair/Director’s Printed Name/Signature/Date

College Associate Dean’s Printed Name/Signature/Date or H&A students

should get the signature of Director, H&A Student Success Center (Clark244)

Approve

 Hold

 Deny

AARS Printed Name/Signature/Date

For Registrar’s Office Use Only:

Date Received:

By:

Date Changed: ________________

By:_________________

Major Minor 90 or more 8-10-15

Request For An Addition/change Of Major Or Minor Form

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