A-State Online Program Change Form

* = Required Field

ID Number

Personal Information

First Name

Last Name

Birthdate

Academic Information

Are you applying as a graduate (Doctoral, Specialist or Masters) or undergraduate (Bachelors or Associates) student?

What type of change are you requesting?

***Please note, if you are already registered in ‘traditional, on-campus’ classes, you will need to drop those classes for the semester you are wanting to take 100% A-State Online classes. You will be working with an online advisor to register in alternative ‘online’ classes.***

*** Please note, not all scholarships will transfer to online. This includes institutional scholarships. Please visit with Financial Aid and Scholarships prior to making this change if applicable.***

***A new application may be required based on program admission requirements. If needed, we will notify you by email upon receiving your request. Once submitted, please email thoggard@astate.edu to request a fee waiver.***

Please indicate the term you would like this change to take effect.

Please indicate the term you would like to move your application to.

Will the term you selected above be your first term/semester of college after high school graduation?

Have you received a previous Graduate level degree (Masters, Specialist or Doctoral)?

Have you received a Bachelor's degree?

Have you previously attended classes at Arkansas State University at Jonesboro?

Are you transferring from another college/university with 13 or more hours?

Are you transferring with an Associate's degree from an Arkansas institution?

Would you like the A-State Online registration team to drop your on-campus courses before switching your modality? If you select "No," please note that your modality change may be delayed until those on-campus courses are either dropped or completed. Your courses may not be eligible to be dropped if they are beyond the drop deadline.

Yes

Curriculum Information

What is your current major?

What major are you requesting to change to? If no change, please select your current major. All listed majors are "Bachelors" degrees unless specified otherwise.

Do you currently live and plan to teach in the state of Arkansas?

Yes

This program is currently only available to students in the state of Arkansas.

What major are you requesting to add as a secondary major? All listed majors are "Bachelors" degrees unless specified otherwise.

What major are you requesting to change to? If no change, please select your current major.

Reason for Change

Additional Documentation

The program that you are trying to switch to requires recommendation letters to be submitted. Please list a professional (e.g. supervisor) and faculty (if you have been out of school for more than 5 years, an additional professional reference can be utilized) reference in the boxes below.

Professional/Faculty Recommender 1

Name

E-Mail

Organization

Position/Title

Relationship

Professional/Faculty Recommender 2

Name

E-Mail

Organization

Position/Title

Relationship

Professional/Faculty Recommender 3

Name

E-Mail

Organization

Position/Title

Relationship

What hybrid program are you requesting to change to? All listed majors are "Bachelors" degrees unless specified otherwise.

Contact Information

What is your preferred method of communication?

Phone

E-Mail

Both

Email Address

Phone Number

By submitting this form, I am providing my digital signature agreeing that Arkansas State University (A-State) may email me or contact me regarding educational services by telephone and/or text message utilizing automated technology at the telephone number(s) provided above. I understand this consent is not a condition to attend A-State or to purchase any other goods or services.

Arkansas State University

www.astate.edu

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A-State Online Program Change Form