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Change of Major/Minor Form

NOTE: You may print this form, complete it and fax or bring it to the Registrar's office; however, all requests MUST be accompanied by a copy of your identification.

DATE: _______________

S ID: __________________

NAME: (Last)_________________ (FIRST) ________ (Middle) _____________


CHANGE MAJOR
FROM: ______________ (Code # - See Schedule Booklet)
TO: _________________ (Code # - See Schedule Booklet)

Add Second Major Code # ______________ (Code # - See Schedule Booklet)

CHANGE MINOR

Add Minor Code #____________ (Code # - See Schedule Booklet)

Delete Minor Code #______________ (Code # - See Schedule Booklet)

SIGNATURE:

_____________________________________

Please remember proper identification.

Missouri Southern State University
Registrar's Office
3950 E. Newman Road
Joplin, MO 64801-1595
FAX (417) 625-3117