RegistrarÔÇÖs Office
303-273-3200

UNDERGRADUATE BULLETIN CHANGE FORM


Date:
______________________

Student Name:
________________________________________

CWID: ______________________

I, ___________________________________________, request to change from the
______________ Bulletin to the ______________ Bulletin regarding the following
Major _______________________ for the following reason(s):
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
___________________________________________________________________.

I Plan to Graduate:____________________________




Month

Year

Student Signature:________________________________


Approved By:

ADVISOR
_________________________ _____________________
Printed
Name Signature

DEPARTMENT HEAD
_________________________ _____________________
Printed
Name Signature

OFFICE USE ONLY:
Processed ______
Date _____
RG_504_FRM_BULLETINCHG Rv2

Document Outline