If you need to make changes to your application, such as the semester, year, or program of enrollment, fill out the information on the form below. FIrst Name * Last Name * EUID * Date of Birth * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year19311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004 Year Mailing Address * City, State, Zip * Phone Number * Email * Select Current Program * - Select -MBA Business AdministrationMaster of ManagementM.Ed. in Curriculum & InstructionM.Ed. in School CounselingM.S. in Clinical Mental Health CounselingM.S. in Criminal JusticeM.Ed. in Educational Leadership (EDLE)M.S. in Public Leadership (PLDR)Graduate Non-Degree (GNDE) Second Bachelor’s Degree New Program (if changing programs) MBA Business Administration Master of Management M.Ed. in Curriculum & Instruction M.Ed. in School Counseling M.S. in Clinical Mental Health Counseling M.S. in Criminal Justice M.Ed. in Educational Leadership (EDLE) M.S. in Public Leadership (PLDR) Graduate Non-Degree (GNDE) Second Bachelor’s Degree Name of second bachelor's (if applicable) Semester of Planned Enrollment * Submit
