LOYOLA SCHOOLS FORM (rev.

05-2016)

Date/Time of download:
07-May-2019 08:44 AM
LOYOLA SCHOOLS
Serial No.: 0082113
FORM FOR CHANGE OF DEGREE PROGRAM OR
APPLICATION FOR MINOR/SPECIALIZATION
Date: ________________________
School Year: 2018-2019 Semester: 2nd Semester
Only one request (Request A or B) per form. Obtain the required signatures in proper sequence. Accomplished
forms (i.e. with all approvals) must be submitted to the Registrar within the prescribed deadlines.
ID No: 151069 Name: CO, JOHN RAYNER WONG
Year: 4 Degree: BS MGT

( ) Request A. CHANGE OF DEGREE PROGRAM (Indicate complete title of degree). I wish to change
degree program from BACHELOR OF SCIENCE IN MANAGEMENT to

________________________________________________________

_________________________ Date _________ _________________________ Date _________

Approval of Home Department Chair/Program Director Approval of Chair of Accepting Department/Program Director

( ) Request B. APPLICATION FOR MINOR/SPECIALIZATION

I wish to apply for a MINOR in _________________________________________

_________________________ Date _________ _________________________ Date _________

Approval of Home Department Chair/Program Director Approval of Chair of Accepting Department/Program Director

I wish to apply for a SPECIALIZATION in __________________________________

_________________________ Date _________

Approval of Home Department Chair/Program Director

I am also currently completing the Minor/s in __________________________________________ and /or

Specialization in _________________________ as approved in ________ Semester, SY _________.

Noted by: ___________________________________________ Date ____________

Department Chair/Program Director of the first Minor/Specialization

STATE YOUR REASONS FOR THE ABOVE REQUEST(S) (Form will be returned to student if this space is left blank.)

___________________________________
Signature of Student

OTHER APPROVALS:
1. Office of Admission & Aid / Associate Dean for Graduate Program (For scholars only)
__________________________________ Date _________________
2. Associate Dean for Academic Affairs/ Associate Dean for Graduate Programs
__________________________________ Date _________________
3. Registrar
__________________________________ Date _________________

NOTE: If the student wishes to retain a copy, photocopy the completely signed form before submitting the same to the Office of the Registrar.