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, additional admission documents/requirements may be required to determine your eligibility for the requested program.***

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?

Curriculum Information

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

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A-State Online Program Change Form