Auburn University Graduate School International Student Program Change Request Form

International Student Program Change Request Form

(* required fields)

1. PERSONAL INFORMATION:

Student ID Number*:

Last Name*: First Name*: Middle Name:

Current Address:

Street1*:

Street2:

City*: State*: Zip*:

E-mail:

2. REASON FOR CHANGE*:

Graduating - Starting a new programStudent's RequestDepartmental RequestOther, please indicate reason (i.e., to correct document, name, etc.)

3. TYPE OF CHANGE*: CURRENT PROPOSED

Level

Program

Other

*4. TERM PROPOSED CHANGE TAKES EFFECT :**
*5. EXPECTED TERM OF GRADUATION/COMPLETION:**