College of Science Office of the Dean246 Reed HallMorehead, KY 40351Phone: 606.783.2158Fax: 606.783.5039E-mail: firstname.lastname@example.org
The hard copy of this form should be initiated if any consultations are recommended.
College of Science Faculty/Staff initiating form:
Student's MSU ID Number without preceding "m":
If Current Student - Complete the following:
Current Program of Study (List all Areas, Majors, Minors, Pre-Professional Programs):
Student Reason(s) for Requesting Change:
Initial Advising Session is Complete
Name of MSU Personnel Completing Advising Session: Date:
If Major, a minor is required.
Catalog Year: Advisor:
Minor or Pre-Professional Program Code:
Minor Catalog Year: Minor Advisor Assigned:
Any Additional Area/Major/Minor
Is additional Area or Major requested above a separate degree?
Catalog Year: Additional Advisor(s):
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MSU is an affirmative action, equal opportunity, educational institution.