Request for Change of Advisor The NMSU Department of Health Science
This form is intended for both undergraduate and graduate students in the Department of Health Science. Students should feel free to request a change of advisor as their needs and interests change. However, it is important to notify the Department for record-keeping purposes.
| DATE | |
| NAME OF STUDENT | |
| SOC. SEC. # | |
| NAME OF CURRENT ADVISOR | |
| NAME OF NEW ADVISOR | |
| SIGNATURE OF NEW ADVISOR |
REASON FOR REQUESTING ADVISOR CHANGE
|
RETURN THIS COMPLETED FORM TO THE DEPARTMENT OF HEALTH SCIENCE, HSS (Health & Social Services Building) Room 102 |
| DENIED | _________ |
| APPROVED | _________ |
DEPARTMENT HEAD SIGNATURE |
____________________________________________________ |
| CC |
Student file Current advisor New advisor Update list of departmental advisors |
Updated 03/2003
|
Department of Health Science New Mexico State University P.O. Box 30001, MSC 3HLS Las Cruces, New Mexico 88003 Telephone: 575.646.4300 Facsimile: 575.646.4343 |