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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: ___

First Name

Last Name

SID: ___ Term: ___

SID

Term

Present Major: _____ Desired Major: _____

Present Major

Desired Major

Present Minor: ___ Concentration: ___

Present Minor

Concentration

Present Advisor: ___ Desired Minor: ___

Present Advisor

Desired Minor

Department Chair: ___

Department Chair

New Advisor: ___

New Advisor

Registrar

Date

Major Code Assigned

(Registrar) (Date)

(Major Code Assigned)

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