The University of Akron
REQUEST TO CHANGE
ADMISSION STATUS OR PROGRAM
Graduate School
Polsky Building, Room 469
Akron, OH 44325-2101
Phone: 330.972.7663
Fax: 330.972.6475
This form is to be used by academic departments requesting to make changes to a graduate student’s
admission status. Please complete this form and forward to the Graduate School, +2101 for review and
approval.
Note: This form is not to be used for requests to move students from Non-Degree to Degree Seeking nor
is it to be used for students moving from one academic department to another. In both cases, the student
must formally reapply and be readmitted.
STUDENT INFORMATION:
Last (Family) Name
Mailing Street Address
First Name
City
EMPL ID
State
Zip
ACADEMIC DEPARTMENT’S REQUEST:
Please mark the appropriate request for changes to Admission Status:
Deferred to Provisional Admission
Deferred to Full Admission
Provisional to Full Admission
Please mark the appropriate request for Program changes:
Master’s to Ph.D.
Ph.D. to Master’s
Please mark the appropriate request for Inter-Departmental Major changes:
(i.e. Student is changing from Taxation to International Business)
Change major from
to
Change advisor from
to
By completion of this form, I hereby confirm that the above-named student has met the necessary conditions for the
requested admission status and/or program change(s).
________________________________________
Department Chair/Graduate Director
_________
Date