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MAINTENANCE FORM

Interdisciplinary Liberal Studies

Printable Version of Maintenance Form

 

 

Student Id Number:                               Academic Level: FR___ SOPH___ JR___ SR__

 

Student Name: ____________________________________________________________

                        First                                    Middle                                       Last                                                                                       

IdLS Advisor: _________________________   Education Advisor: ____________________ 

 

Email Address:___________________________   Tel. Number: ______________________      

 

Education Program __________________________________________

 

Enter New Information

 

_____Change in Major Advisor:                                    /________________

                                            Old Major Advisor             New Major Advisor

 

_____Change in Minor Advisor:                                    /   _______________ 

                                           Old Minor Advisor               New Minor Advisor

 

_____ Change in Concentration:                                   / _______________

                                           Old Concentration              New Concentration

 

_____ Change in Track Level:                                      / _______________

                                             Old Track                          New Track

 

Track 1: Citizenship & Public Policy	Track 5: Culture in Geographic Context: Africa, Asia, & MidEast
Track 2: Race, Ethnicity, Gender, & Class	Track 6: Ethics, Values, & Spirituality
Track 3: Culture in Geographic Context: The Americas	Track 7: IDLS/SPED (restricted to SPED students)
Track 4: Culture in Geographic Context: Europe

 

Notes______________________________________________________________________________

 

Dr. Fletcher Linder, Ph.D.
Associate Professor of Anthropology
Interim Director of Interdisciplinary Liberal Studies
118 Maury Hall, MSC 1105
540.568.5260  office

Send the completed form to the Office of the Registrar, Attention Donna Hansen, MSC 3528.

Registrar's Use Only: Entered By: _________________________ Date: ______________________________

IDLS  Use Only: Recorded in database _____________ Date email notice sent __________________ Sent to Registrar ______________________