Office of the Registrar

OFFICE OF THE REGISTRAR
THE UNIVERSITY OF NORTH CAROLINA AT PEMBROKE

DECLARATION OF MAJOR, MINOR, CONCENTRATION AND/OR ADVISOR FORM

Directions: Please print, complete and return to the Office of the Registrar.

Student Name: ______________________________________________________
Student ID: _______________________________________ Date: _____________

Select your option.

[__] Declaration of Major	[__] Change of Major	[__] Declaration of Minor
[__] Change of Minor	[__] Declaration / Change ...... Concentration	[__] Change Advisor

Take this form to the Department Chair of your new major, where they will assign a new advisor.

Name of new advisor: ______________________ Chairs Initials: _________
Meet with your new advisor and write the code for the new major below.

Major	Major (2nd)	Minor	Minor (2nd)	Concentration

New Advisor's Signature: ____________________________________________

Return completed form to the Office of the Registrar

Office use only

Date Received: ________

Date Entered: ________

Data Entry Operator:______

Please return completed form to:

Office of the Registrar
PO Box 1510
Pembroke, NC 28372-1510

Office Location: Lumbee Hall, Room 133