I am requesting a change of program as follows:
The student must secure the following signatures before submitting this form to the Registrar.
NOTE: The Program Director discusses application with Academic Dean to secure approval or disapproval. The Program Director will contact the student re: approval or disapproval.
The Program Director will submit copies to: Registrar (original form), Program Director, Advisor, Independent Study Instructor, Student Finance Office.
Ecumenical Theological Seminary | 2930 Woodward Avenue, Detroit, MI 48201 | etseminary.edu | 313-831-5200
rev. 10 March 2020
