North Carolina State University

The Graduate School

CHANGE OF DEGREE STATUS OR CURRICULUM

(Including “En Route” Master’s, Multiple Master’s, and Co-Majors)

To: Dean of The Graduate School
From: Program Director:
Director’s name/Program name
Student Information:
Name: / ID Number:
Please check one: U.S. Student International Student
Current Degree Status/Program:
New Degree Status/Program:
Check One: permanent en route Master's multiple Master’s co-major
Effective Semester and Year of Change/Request:
Is Student in good academic standing? Yes No (attach current academic transcript)
Did Student receive a graduate degree at NC State? Yes No; If ‘Yes’, enter degree
and date:
Justification (or indicate if attached)

______

Student (Signature/Date or attached letter/email)

______

Current Program Director (Signature/Date)

______

New Program Director (if appropriate, Signature/Date)

Graduate School Approval/Date: ______

Revised 4/20/09