Use this form to request changes to your Program of Study. Please provide all information requested on the form. If there is a question or problem you will be contacted before any changes are made.

Name *

First

Last

8000# *

Email *

Date of Birth *//

Phone *

I would like to: *

Change Degree
Add Degree

Degree:

Major/Option Area:

List of degrees and minors can be viewed on the online catalog located in http://catalog.umwestern.edu/content.php?catoid=6&navoid=232

Major/Option Catalog Year *

Minor/Related Area

Minor/Related Area Catalog Year

Please select one: *

I have credits from outside of UMW that need to be re-evaluated for my new degree
All my credits for my new degree are from UMW

Digital Signature *

Declare Program