Change of Major Form

Application for Change/Add/Discontinue a Major for Currently Enrolled Graduate Students

DIRECTIONS: Change/Add/Discontinue a major is a paper process, including recommendations. Do not fill out an online admission application. On-line applications submitted by currently enrolled graduate students will not be processed.
1) Check with your intended program concerning their admission requirements.(For example: test scores, letters of recommendations and current transcripts from UW-Madison and previously attended institutions). You can request a current UW-Madison transcript through: http://ordertranscript.wisc.edu.
2) Complete and print this form. Send it, along with required supporting documents, to your intended program.
NOTE: Your intended program will review your request to change or add a major and forward their admission decision to the Graduate School.

Name:
	(Last)	(First & Middle)

Student ID Number

Address:

E-mail:

Telephone Number

Current Major(s) --select from pull-down list:

	Request change of major to--(Select from pull-down list):
	Request addition of major--(Select from pull-down list):

*Major to be discontinued--select from pull-down list::**
*Complete only if you currently have a joint or double major and wish to discontinue one. The Graduate School will notify both departments.

Effective for:

Fall

Spring

Summer

Date of Master's examination already taken or planned to take in current major (month & year):

Have you taken the preliminary Ph.D. examination in your current major?

Yes

If yes, when?

Reasons for change of major/addition of major (attach a separate sheet if neccessary):

____________________________________	____________________________________
Signature of Student	Date

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Last update: 30 October, 2009
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DEPARTMENT USE ONLY

Please indicate departmental recommendation below and return original to Graduate School.
Department is responsible for notifying student of refusal or departmental withdrawal.

_____ Admit
_____ Admit on Probation
_____ Admit with Deficiencies
_____ Admit on Probation with Def.
_____ Refuse Admission

If recommended on probation and/or with deficiencies, state conditions for first semester:

Signed:	________________________	__________
Signed:	Chairman of Admissions	Date

DEPARTMENTS MUST COMPLETE THIS AREA FOR ALL INTERNATIONAL ADMITTED APPLICANTS
Degree Goal is:	Master's	Ph.D.	Estimated Completion Date: ______________
			Month & Year

Date recieved by Program: ________________________________________

Date Sent to Grad School:______________________________________________________

Oct 30, 2009

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