APPLICATION FOR APPROVAL OF CONCURRENT MAJORS (Baccalaureate and Associate degrees only) PSU ID _ - _ _ _ _ - _ _ _ _ Applicant information (please print): Last name: First name: MI: Local address: Local phone: Campus location: E-mail address: Current college(s):* Major(s): Option(s): Degree(s): Proposed concurrent college: Major: Option: Degree: * If you are currently enrolled in more than one major, please attach a copy of that approved application to this one. * The deadline for filing a concurrent major is the end of the late drop period of a student's final semester. Brief statement of justification for proposed concurrent major in terms of your education and career objectives: Student: Obtain the following signatures of approval (Advisers, Department Heads or Equivalent and Deans) on this form in the order indicated. Advisers, Department Heads or Equivalent and Deans: Note that your signature on this form signifies acceptance of the course requirements listed on the back. Current College (first) Approval Signatures: Proposed Concurrent College Approval Signatures: 1_________________________________________________ Adviser Date 2_________________________________________________ Department Head or Equivalent Date 3_________________________________________________ Dean Date 4_________________________________________________ Adviser Date 5_________________________________________________ Department Head or Equivalent Date 6_________________________________________________ Dean Date When approval is granted, the dean of the college in which the new major is located will reproduce and distribute copies of the approved form as follows: 1 copy to each concurrent college dean; 1 copy to the Registrar’s Office; 1 copy to the department or school and 1 copy to the student. COURSE REQUIREMENTS FOR A CONCURRENT MAJOR PROGRAM INSTRUCTIONS: List courses, numbers, and credits to be completed in both programs after the current semester. Include: General Education, College, and Major requirements. Current Major Course/Number Credits Concurrent Major Course/Number Credits CREDIT REQUIREMENTS Number of credits earned to date: ______ Number of credits scheduled this semester: ______ Credits to be completed (proposed above): ______ Total credits ______ Total number of semesters of study at Penn State: ______ Student’s Signature: _______________________________________________ Date: ___________________ A ”Petition for Course Substitution and Academic Exception” form must be completed for a course substitution(s) or for an amended plan. The petition must be approved by the appropriate dean’s office. ACAS: 11-2-90 ACUE: revised 4-12-91 ACUE: revised 5-1-03 ACUE: revised 1-8-04