Declaration of Minor
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(Type or Print with Ballpoint Pen) |
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Date: ________________ Full (legal) Name: ___________________________________________________ SID#______-_____-______ Local Address: ____________________________________________________ Local Phone Number: ______________________________
Anticipated Date of Graduation :___________________________(Ex. Spring 2007) Concentration of Study :_______________________(Ex. Drawing, Sculpture, etc.) Minor Declared on this form: ___________________________________________ Field of Concentration (if applicable): _____________________________________ ___________________________________________________________________ __________________________________________________________________
Student’s Signature: _______________________________________________ Major Advisor's Signature: ___________________________________________ Minor Department Chairman's Signature:__________________________________
Please Note: Form must have signature of the
major advisor and the department chair from the minor department in order
to be processed. |
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