Declaration of Degree / Major Form

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Please Select From The Following (required): *

Please Select From The Following (required): Initial Declaration of Degree/Major/Minor Change Declaration of Degree/Major/Minor Add Additional Degree/Major/Minor Delete Degree/Major/Minor
Name (required) Name (required) * First Last
Student ID Number (required) *

Your 774 or 922 number, NOT your social security number.
Date (required) Date (required) * / MM / DD YYYY
Campus Box
Complete Mailing Address (required) Complete Mailing Address (required) *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please list the address that you get mail directly at to prevent any delay of time-sensitive information.
Email (required) *
Phone (required) Phone (required) * - ### - ### ####

Please list your cell phone or the best number we can reach you.
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.