CLARK ATLANTA
UNIVERSITY
UNDERGRADUATE MAJOR CHANGE FORM
NOTE: GRADUATE STUDENTS MUST APPLY TO THE SPECIFIC DEGREE PROGRAM THROUGH THE OFFICE OF. ADMISSIONS
‘YOU MUST HAVE THE SIGNATURE OF THE CHAIR/DEAN OF THE OLD AND NEW MAJOR, If YOU HAVE NOT ESTABLISHED A MAJOR
(UNDECIDED) YOU ONLY NESD THE SIGNAURE OF THE CHAIR OR DEAN FOR YOUR DECLARATION OF FIELO OF STUDY.
To the University Registrar
STUDENT NAME: _ ID# : *
Is currently classified as. a [] Froshman [] Junior [7] Sophomore [_] Senor, has been granted permilsston to
have his/her major (fleld of study) changed.
DECLARATION OF FIELD OF STUDY
MAIOR. MINOR, CONCENTRATION.
STUDENT SIGNATURE ae DATE,
CCHAIR or DEAN SIGNATURE DATE
CHANGE OF MAJOR (FIELD OF STUDY}
‘OLD MAJOR. MINOR.
NEW MAJOR IAINOR
‘OLD CONCENTRATION,
NEW CONCENTRATION, ee
STUDENT SIGNATURE DATE ae
{O10) CHAIR/DEAN SIGNATURE DATE___.
DAME Seseesesereececy
(GHEY) CHAR /OeAN SCONATURE FHC ec Crcir rd drr serves aesesceceee
postpey: TE
{Oilice ofthe University Reger)
Copies should be maintained witht Registrar's Office, New Department, Old Department, and Student