FGCU Formstack

Request to Add/Change Concentration to Current Program

Student Information

Name*

First Name

Last Name

UIN (FGCU ID #)*

Email*

Graduate Program*

Current Concentration (if applicable)

Requested New Concentration*

Graduate Program Coordinator*

Graduate Program Coordinator Email*

Student Signature

By making this request to add/change of concentration, I authorize the faculty in the new concentration to review my complete file in the process of making a decision regarding my admission to the new concentration. I have reviewed the admission requirements for the new concentration and have attached to this request any additional information required for the new concentration and other additional information that I would like the members of the admissions committee to consider.

If approved, I am confirming abandonment of the current concentration (if applicable) and catalog year to pursue the new concentration and catalog year. I understand that I may not be allowed to revert to the previous concentration after this request is approved.

On clicking Submit, the form will be routed to your Program Coordinator for approval.

Signature*

By entering your name, you are digitally signing this form

Date/Time*

Graduate Program Coordinator Approval

Approval*

Approve Deny

New Applicable Catalog Year*

Example: 2019-20

Graduate Program Coordinator Signature*

By entering your name, you are digitally signing this form

Date/Time*

On clicking submit, the form will be routed to Graduate Studies for processing.

Graduate Studies Approval

GS Approval*

Approve Deny

Graduate Studies Director Signature*

By entering your name, you are digitally signing this form

GS Date/Time*