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Western Illinois University
School of Graduate Studies
Request for Change of Status Form



Current Status

OR


Transmit Materials to the Following Department(s)


















































Other:


 


Personal Information

If currently a graduate degree-seeking student, do you intend to complete your current program before beginning a new program of study?



If applicable, do you wish to have your previous goals statement and letters of recommendation forwarded to the new program indicated above?

Semester to begin program:


Primary attendance location:





Verify the following:
By checking this box I certify that I am personally seeking admission to Western Illinois University and all information supplied on this application and all credentials submitted are complete and accurate to the best of my knowledge and belief. I understand that withholding information requested on this application or giving false information on this or any WIU document may make me ineligible for admission to the University or subject to dismissal.