Western Illinois University Request to Change from Nondegree Student to Degree-seeking Student School of Graduate Studies I would like my status changed from that of a nondegree graduate student to a potential degree candidate. Please transmit my credentials and transcripts to the following department so they may consider my admission into their program. ___Accountancy ___Ed & Interdisciplinary Studies ___Music ___Biology ___Elementary Education ___Physics ___Business Administration ___Engineering Technology Leadership ___Political Science ___Chemistry ___English ___Psychology – General ___College Student Personnel ___Geography ___Psychology – Clinical/Comm. Mental Health ___Communication ___Health Sciences ___Psychology – School ___Communication Sciences and Disorders ___History ___Reading ___Computer Science ___Instructional Design and Technology ___Recreation, Park & Tourism Administration ___Counseling (School, Clinical Mental Health) ___Kinesiology ___Sociology ___Economics ___Law Enforcement & Justice Adm. ___Special Education ___Educational Leadership (MS Ed) ___Liberal Arts and Sciences ___Sport Management ___Educational Leadership (EdS) ___Mathematics ___Theatre ___Educational Leadership (EdD) ___Museum Studies Other: ___Second bachelor’s degree (specify degree): ___Post-baccalaureate certificate (specify certificate): Name: WIU ID No.: Current address: Current phone number: Today’s date: Primary attendance location (Macomb, Quad Cities, Other): Semester to begin program: Email address: Signature: Western Illinois University School of Graduate Studies 1 University Circle Macomb, IL USA 61455-1390 Phone (309)298-1806; Fax (309)298-2345 www.wiu.edu/grad; Email: Grad-Office@wiu.edu 2-1-13 Reset