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Julian M Carroll Academic Services Building, Suite 323 400 East Main Street Frankfort, KY 40601

Major/Minor/Advisor Change Form

It is the policy of Kentucky State University not to discriminate against any individual in its educational programs, activities or employment on the basis of race, color, national origin, sex, disability, veteran status, age, religion or marital status.

First Name: ___ Last Name: ___

SID: ___ Term: ___

Present Major: _____ Desired Major: _____

Present Minor: ___ Concentration: ___

Present Advisor: ___ Desired Minor: ___

Department Chair: ___

New Advisor: ___

(Registrar) (Date)

(Major Code Assigned)

**PRESENT ADVISOR MUST FORWARD THE ADVISING FILE TO THE NEW ADVISOR UPON RECEIPT OF COMPLETED FORM FROM REGISTRAR**