Application for a Minor

Applications for minors must be approved by the appropriate department Undergraduate Chair, except Chemistry and Economics.  Please complete the following, obtain necessary signatures, and return to Tammy Betterson, 107 Jaffe Building.
 

Name ________________________________________________________________
Social Security # __________________

Local Address ____________________________________________________________________________________________

_____________________________________________________________________
Phone # _________________________

Graduation Year and Month ________________________

Current Major(s) _________________________________ ______________________________________________________

Current Minor(s) _________________________________ ______________________________________________________

Proposed Minor ___________________________________________________________________________________________

Courses Toward Proposed Minor

_______________________________________________ ______________________________________________________

_______________________________________________ ______________________________________________________

_______________________________________________ ______________________________________________________

_______________________________________________ ______________________________________________________
 
 
 
 

APPROVALS

Application is:  (   ) Approved  (   ) Denied
 

Signed ___________________________________________________________________________ ___________________
   Department Undergraduate Chair       Date

_________________________________________________________________________________ ___________________
   Print Name         Phone