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Change-of-Status Petition Pattern of Attendance Enrollment Status Graduation Year
 

Summary: 9/22/2009
Change-of-Status Petition
Pattern of Attendance Enrollment Status Graduation Year
120 Hayden Hall 360 Huntington Avenue, Boston, MA 02115 Tel: 617.373.2300 Fax: 617.373.5351 registrar@neu.edu www.northeastern.edu/registrar
Instructions: Complete Parts 1 and 2. Obtain the necessary signatures in Part 3. Return the completed form to the Advising Office.
Advising Office should forward approved requests to Registrar's Office, 120 HA, for processing.
PART 1--STUDENT INFORMATION
Name (Last) (First) NUID
Program College
E-Mail Phone
Student's signature Date
PART 2--PURPOSE OF PETITION
Change pattern of attendance to Year in pattern (circle one): 1 2 3 4 5 6
Change enrollment status to
Change graduation year to
Effective term: Fall Spring Summer 1 Summer 2 Year 20
PART 3--SIGNATURES
Primary advisor:
Signature Print name NUID (needed for FACT)
Secondary (faculty) advisor:

  

Source: Ayers, Joseph - Marine Science Center & Department of Biology, Northeastern University

 

Collections: Engineering