FGCU Formstack

Request to Change Graduate Catalog Year

Current Catalog Year*

Requested New Catalog Year*

Reason for request*

Graduate Student Information

Name*

First Name

Last Name

UIN (FGCU ID #)*

Email*

Graduate Program*

Graduate Program Coordinator Name*

Graduate Program Coordinator Email*

Student Signature

By making this request for a change of catalog year, I understand that my graduate program curriculum requirements will be changed to those curriculum requirements approved for the requested catalog year. I understand that I will not be allowed to revert to the previous catalog year after this request is approved.

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

Signature*

By entering your name, you are digitally signing this form

Date/Time*

Graduate Program Coordinator Approval

By submitting this form, I support the student's request to change the graduate catalog year.

Graduate Program Coordinator Approve/Deny*

I approve the change of catalog year I do not approve the change of catalog year

Approved New Catalog Year*

Example: 2019-20

Graduate Program Coordinator Signature*

By entering your name, you are digitally signing this form

Date/Time*

Graduate Studies Approval

Graduate Studies Approve/Deny*

Approved Denied

Additional Comments

Graduate Studies Director Signature*

By entering your name, you are digitally signing this form

Date/Time*