PROGRAM OF STUDY DECLARATION FORM – 2017/2018
Banner ID: 0
Name (print): _______________________ ______________________ _____
(Last)
(First)
(Mid. Initial)
MAJORS/CONCENTRATIONS – List ALL programs you intend to pursue
(SEE REVERSE FOR MINORS)
Use “1” for your first and “2” for your second when selecting two programs.
It is suggested that you meet with an advisor and/or run a “what if” analysis in Degree Works to determine the implications of a program change.
____NO CHANGE TO PRIMARY
PROGRAM/MAJOR
____NO CHANGE TO SECONDARY
PROGRAM/MAJOR
********************************************
___Accounting and Finance, Accounting Conc., BS
___Accounting and Finance, Finance Conc., BS
___Anthropology, Cultural Anthropology Conc., BA
___Anthropology, General Anthropology Conc., BA
___Anthropology, Public Archaeology Conc., BS
___Art History: Global Perspectives, BA
___Art, Art Education Conc., BA
___Art, Art History Conc., BA
___Art, Crafts Conc., BA
___Art, Fine Arts Conc., BA
___Art, Graphic Design Conc., BA
___Art, Photography Conc., BA
___Aviation Science, Aviation Management Conc., BS
___Aviation Science, Flight Training Conc., BS
___Biology, BA
___Biology, BS
___Biology, Secondary Education Conc., BS
___Chemistry, BA
___Chemistry, Biochemistry Conc., BS
___Chemistry, Environmental Chemistry Conc., BS
___Chemistry, Professional Chemistry Conc., BS
___Communication Sciences and Disorders, BS
___Communication Studies, Communication and
Culture Conc., BA
___Communication Studies, Film, Video and Media
Studies Conc., BA
___Communication Studies, Strategic
Communication, Conc., BA
___Communication Studies, Theatre Arts
Conc., BA
___Communication Studies, Theatre
Education Conc., BA
___Communication Studies, Theatre
Performance Conc., BA
___Computer Science, BS
___Criminal Justice, BS
___Criminal Justice, Victimology Conc., BS
___Dance, BA
___Early Childhood Education, BSE
___Early Education and Care, Birth-K, BSE
___Earth Sciences, BS
___Economics, BS
___Elementary Education, BSE
___Elementary Education, Dual License Conc., BSE
___English, BA
___English, English Education (High School, Middle
School) Conc., BA
___English, Writing and Writing Studies Conc., BA
___Environmental Geosciences, BS
___Geography, BA
___Geography, BS
___Geological Sciences, BA
___Geological Sciences, BS
___Health Studies, BS
___Health Studies, School Health Conc., BS
___History, BA
___Management, General Management Conc., BS
___Management, Global Management Conc., BS
___Management, Human Resources Mgmt. Conc., BS
___Management, Information Systems Mgmt.
Conc., BS
___Management, Marketing Conc., BS
___Management, Operations and Supply Chain Mgmt.
Conc., BS
___Mathematics, BS
___Mathematics, Pure Mathematics Conc., BS
___Mathematics, Statistics Conc., BS
___Music, BA
___Music, Classical Performance Conc., BA
___Music, Jazz Studies Conc., BA
___Music, Music Education Conc., BA
___Philosophy, BA
___Philosophy, Analytic Philosophy Conc., BA
___Philosophy, Applied Ethics Conc., BA
___Philosophy, History of Philosophy Conc., BA
___Philosophy, Social and Political Philosophy
Conc., BA
___Physical Education, BA
___Physical Education, Exercise Science/Health
Fitness Conc., BS
___Physical Education, Motor Development
Therapy/Adapted Physical Education Conc., BS
___Physical Education, Recreation and Fitness Club
Administration Conc., BS
___Physical Education, Recreation Conc., BS
___Physical Education, Teacher Licensure (PreK-8)
Conc., BS
___Physical Education, Teacher Licensure (5-12)
Conc., BS
___Physics, General Physics Conc., BA
___Physics, Professional Physics Conc., BS
___Physics, Prof. Physics with Applied Physics
Conc., BS
___Physics, Prof. Physics with Astrophysics Conc., BS
___Physics, Prof. Physics with Optics Conc., BS
___Political Science, BA
___Political Science, American Politics Conc., BA
___Political Science, International Affairs Conc., BA
___Political Science, Legal Studies Conc., BA
___Political Science, Public Administration Conc., BA
___Psychology, BS
___Public Health, BS
Secondary Education, BA (must choose level below)
___High School, Grades 8-12 (biology, chemistry,
earth sciences, English, history,
mathematics, physics)
___Middle School, Grades 5-8 (biology, chemistry,
earth sciences, English, history, mathematics,
physics)
___Middle-High School, Grades 5-12 (Spanish,
visual arts)
___Pre-K-Middle School, Grades Pre-K-8
(visual arts)
___Pre-K-High School (dance, health/family
consumer science, music, theatre)
___Social Work, BS
___Sociology, BA
___Sociology, Education Conc., BA
___Sociology, Global Studies and Social Justice
Conc., BA
___Sociology, Urban Sociology Conc., BA
___Spanish, BA
___Spanish, Secondary Education Conc., BA
___Special Education, Teacher of Students with
Moderate Disabilities (Grades PreK-8) Conc., BSE
___Special Education, Teacher of Students with
Moderate Disabilities (Grades 5-12) Conc., BSE
___Special Education, Teacher of Students with
Severe Disabilities (All Levels) Conc., BSE
___Undecided
Signatures from Department Chairperson(s) only required for all NEW programs being added to your academic record.
1st Major/Conc. - New Advisor:__________________
2nd Major/Conc. - New Advisor:__________________
Chairperson’s Signature: ______________________
Chairperson’s Signature:
_____________________
Continued on reverse side/page 2 – both sides must be completed
MINORS
1.
2.
3.
4.
Mark ALL minors you intend to pursue (“1” for first, “2” for second, etc.) on the line to the left of the minor(s).
When declaring a new minor(s), the form must be signed by the appropriate department chairperson(s).
If you are dropping a minor, but adding a new minor(s) or keeping a previously declared minor(s), leave the minor you wish to drop
blank and prioritize your other minors with “1” for first, “2” for second, etc.
If you wish to drop all minors, please leave all minors blank and check the box below:
□
I no longer wish to be enrolled in any minors.
Use “1” for your first and “2” for your second, etc. when selecting more than one minor.
___Accounting and Finance
___Actuarial Science
___African Studies
___American Studies
___Anthropology
___Art History
___Asian Studies
___Aviation Science
___Biochemistry
___Biology
___Canadian Studies
___Chemistry
___Childhood Studies
___Civic Education and
Community Leadership
___Classical Studies
___Coaching
___Communication
Disorders
___Communication Studies
___Computer Science
___Criminal Justice
___Dance
___Economics
___Exercise Physiology
___Film Studies
___Geographic Information
Systems (GIS)
___Geography
___Geological Sciences
___Geophysics
___GLBT Studies
___Global Religious Studies
___Graphic Design
___Health Promotion
___Health Resources Mgmt.
___History
___Irish Studies
___Latin American and
Caribbean Studies
___Literature and
Literary Studies
___Management
___Mathematics
___Middle East Studies
___Music
___Musical Theatre
Performance
___Nutrition
___Philosophy
___Philosophy, Politics
and Economics
___Physics
___Political Science
___Portuguese
___Psychology
___Public Relations
___Reading
___Recreation
___Social Studies
___Social Welfare
___Sociology
___Spanish
___Special Education,
Inclusive Practices
___Special Education,
Professional Practices
___Statistics
___Studio Art
___Sustainability Innovation
and Outreach
___Theatre Arts
___U.S. Ethnic and
Indigenous Studies
___Urban Affairs
___Women's and Gender
Studies
___Writing and Writing
Studies
Signatures from Department Chairperson(s) only required for all NEW programs being added to your academic record.
1st Minor - New Advisor:_______________________
2nd Minor - New Advisor:_______________________
Chairperson’s Signature: _______________________
Chairperson’s Signature: _______________________
Student Signature: __________________________________
Page 2 of 2
Date: ________________________
last revised: 05/26/17 EK (R.O.)