Undergraduate Change of Curriculum

Request Form

Brent Beavers
Student Name: __________________________________ 01930702
Student ID: _______________________
210-636-1393
Telephone: _____________________________________ 2021
Catalog Year: ________________________
Kinesiology
Current Major: __________________________________
Athletic Academic Center Signature Needed: If you are a student athlete, you must obtain signature approval from your designated
representative. Return this form to your assigned academic advising center within 5 business days for.
✔ YES ___ Athletic Rep. Signature: ___________________________ Date: ________________
Are you a student athlete? NO ___

Change of Campus Signature Needed: Students are permitted to enroll in courses owned by their designated curricular enrollment type,
either Residential or Online, but NOT both. Changing your program enrollment type can delay your anticipated graduation date, and may result
in some classes not applying toward your changed graduation requirements. The deadline to switch campus enrollment type is 21 days prior to
semester start. Your request to change your curricular enrollment type is subject to any and all university policies.
✔ YES ___ Signature: ___________________________ Date: ________________
Are you requesting a change in campus? NO ___
NOTE: If a student requests a change to their curricular enrollment type from residential to online, the Online Programs will add the ONL code in SGASTDN. If a student
requests a change to their curricular enrollment type from online to residential, Academic Advising will remove the ONL code in SGASTDN.

Students, please review and initial the following:

BB : Students with concurrent degrees or second majors must seek advising at the appropriate advising center for each
degree/major.
BB : Students with 75 or more college credit hours may not automatically qualify to change their curriculum.
BB : Students must meet eligibility requirements set by each college as outlined in their catalog of graduation at the time of
processing this form.
BB : Some curriculum cannot be changed by an academic advisor and must be processed by the specific department.
BB : Changing your curriculum can delay your anticipated graduation date and affect other policies and fees such as: Financial Aid
Eligibility, the Excessive Undergraduate Credit Limitation Charges, Graduation Tuition Rebate, etc. Please make sure you are aware of
any issues that may occur when changing your curriculum.
BB : Your request to change your curriculum is subject to any and all university policies not listed on this form.
BB : International students must make sure that they are meeting requirements designated for their international status.

New Curriculum Coding: This section is to be filled out by the academic advisor and reviewed with the student.

1st Curriculum

_ _ _
Program Major Minor Concentration Certification Attribute

2nd Curriculum (Optional: To add a concurrent degree, a second major, an additional minor, etc.)

_ _ _
Program Major Minor Concentration Certification Attribute

Additional Academic Advisor Notes (e.g. changes to catalog year):

Digitally signed by Brent Beavers

STUDENT: Brent Beavers Date: 2021.03.16 10:03:18 -05'00' _ DATE: 03/16/2021 _
By signing above the student acknowledges that information on this form was reviewed with them and they are granting permission for the academic advisor to change their curriculum as designated.

ACADEMIC ADVISOR (please print): DATE:

By signing above the academic advisor acknowledges that they reviewed the information on this form with the student.

PROCESSOR: DATE: _

Privacy Notice: With a few exceptions, you are entitled to be informed about the information U.T.S.A. collects about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are
entitled to receive and review this information. Under section 559.004 of the Texas Government Code, you are entitled to have UTSA correct information about you that is held by us and that is
incorrect, in accordance with the procedures set forth in the University of Texas System Business Procedures Memorandum 32.
Last Updated: April 6, 2020