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    Request Form For Changing Degree Program or Major Field: From: TO

    Uploaded by

    Ivan Joseph Gumaod
    Application for Shifting

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Request Form For Changing Degree Program or Major Field: From: TO

    Uploaded by

    Ivan Joseph Gumaod
    6K views1 page
    Application for Shifting

    Original Title

    FM-VPA-05 Application for Shifting

    Copyright

    © © All Rights Reserved

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    Application for Shifting

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    6K views1 page

    Request Form For Changing Degree Program or Major Field: From: TO

    Uploaded by

    Ivan Joseph Gumaod
    Application for Shifting

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    OFFICE OF THE VICE PRESIDENT

    FOR ACADEMIC AFFAIRS


    Visca Baybay City, Leyte 6521-A, Philippines
    Phone/Fax: +63 053 563 7106; Local 1003
    Email Address: odie@vsu.edu.ph
    Website: www.vsu.edu.ph

    REQUEST FORM FOR CHANGING DEGREE PROGRAM OR MAJOR FIELD

    Student Number :

    Name of Student :

    FROM: TO:

    Current Degree Desired Degree


    Program:________________________ Program:___________________________
    Major Field: ______________ Major Field: ____________
    Effective [ ] 1st Sem. [ ] 2nd Sem. [ ] Summer ,
    A.Y. ___ - ____

    Reason(s) for Changing:

    _________________________________________________________________________

    Recommending Approval:

    ____________________________
    Dean of Students
    Date: _______

    ______________________________ _____________________________
    Department Head Department Head
    Current Program/Major Field Desired Program/Major Field
    Date: ____________ Date: ________

    Change of Academic Adviser:

    From: To:

    _____________________________ __________________________
    Printed Name & Signature of Former Printed name & Signature of New
    Academic Adviser Academic Adviser
    Date: __________ Date: _________

    Approved:

    ________________________________
    College Dean
    Desired Program
    Date: ___________

    *For Component Colleges the Director/Head of Student Affairs will sign in lieu of the Dean of Students
    This form should be filled up in 4 copies: 1-Registrar, 1-ODS, 1-Department, 1-Student

    Page 1 of 1
    Vision: A globally competitive university for science, technology, and environmental conservation.
    FM-VPA-05
    Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge
    v1 11-05-2021
    and innovative technologies for sustainable communities and environment.
    No.

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