This form must be completed by undergraduate students declaring or requesting to change their degree program and/or specialization.
Students must submit the completed form to their home location’s appropriate academic administrator for approval.
Undergraduate students can declare enrollment in only one (1) degree program at any given time. Program changes submitted before
Tuesday of Week 1 become effective that session. If the request is received after Tuesday of Week 1 the change becomes effective for the subsequent session. Students must ensure that they are enrolled in courses that apply to their active program for the current session.
Specializations are printed on transcripts; they are not printed on diplomas.
Note: Students wishing to change from a bachelor to an associate program or associate to bachelor program may complete this form, unless the student has graduated or will be graduating from the initial program. If the student has graduated or will be graduating from a program, students must complete an application for admission.
STUDENT DEMOGRAPHIC INFORMATION
Date:
Last Name:
Home Campus/Center:
First Name:
DSI #:
Phone #: Email:
Current Program: Specialization:
CHANGE PROGRAM AND/OR CHANGE/ ADD SPECIALIZATION - Select all that apply and include the program and/or specialization. See the next page for a list of programs and specializations.
I want to CHANGE my PROGRAM (Current program will be discontinued.)
Change program to: Specialization:
I want to CHANGE my SPECIALIZATION (Current specialization will be discontinued.)
Change specialization to:
I want to REMOVE a SPECIALIZATION (The identified specialization will be discontinued.)
Specialization to remove:
I want to ADD a SPECIALIZATION I want to ADD an additional SPECIALIZATION
Specialization to add:
Note: Specializations MUST be completed prior to conferral of the degree. Students cannot return after graduation to complete a specialization(s) after the degree has been conferred. Undergraduate students who would like to pursue more than one specialization must receive approval from the appropriate academic administrator. Students are limited to a maximum of three specializations per degree program and certain limitations may apply.
STUDENT SIGNATURE
I hereby acknowledge that I request to make the above change(s) to my program/specialization and understand that pursuit of additional specializations may affect program length and cost.
Student Signature: Date:
APPROPRIATE ACADEMIC ADMINISTRATOR DECISION AND SIGNATURE
Program/Specialization change approved Program/Specialization change denied (Provide comments.)
Comments:
Name (print):
Signature:
For Office Use Only Registrar initials: Date received:
Title:
Date:
Entered into Banner:
University Academic Form: Undergraduate Student Program/Specialization Declaration
Version: V. 1.1 Supersedes: V.1.0 June 5, 2013
Page 1 of 2
In New York, DeVry University operates as DeVry College of New York. DeVry is certified to operate by the State Council of Higher Education for Virginia. AC0060. DeVry University is authorized for operation by the THEC, www.state.tn.us/ thec. Nashville Campus – 3343 Perimeter Hill Dr., Nashville, TN 37211. Licensed by the Mississippi Commission on Proprietary School and College Registration,
Certification No. C-498. ©2013 DeVry Educational Development Corp.

This page is for reference purposes only and is not required when submitting the form.
LIST OF PROGRAMS AND SPECIALIZATIONS - Program/specialization availability varies by location.
Accounting (associate) Accounting (bachelor’s)
Business Administration Management Technical Management:
Accounting
Health Services Management
Operations Management
Sales and Marketing
Sustainability Management
Business Information Systems
Hospitality Management
Production Management ( Calgary students only)
Security Management
Finance
Human Resource Management
Project Management
Small Business Management and
Entrepreneurship
Management Students Only:
Flex Option
General Management
Technical Communication
Technical Management Students Only:
Criminal Justice Specialty *
General Technical Option *
Business Administration Students Only:
General Business Option Plan I
General Business Option Plan II
Health Information Management
Specialty
* Note : North Carolina Students can only select General Technical Option or Criminal Justice for Technical Management
Computer Information Systems:
Computer Forensics
Health Information Systems
Web Development and Administration
Flex Option
Database Management
Information Systems Security
Web Game Programming
Enterprise Computing
Systems Analysis and Integration
Business/Management
Electronics & Computer Technology
Network Systems Administration Network & Communications Management:
Cisco Networking Fundamentals Networking Fundamentals
Biomedical Engineering Technology
Computer Engineering Technology or Engineering Technology-Computers
Electronics Engineering Technology or Engineering Technology-Electronics
Renewable Energy Engineering Technology Computer Engineering Technology (Calgary students only)
Multimedia Design & Development:
Graphic & Multimedia Design
Web Game Programming
Graphics & Multimedia Management Web Design & Development
Web Graphic Design
Game & Simulation Programming
Health Information Technology
Healthcare Administration:
Healthcare Informatics
Communications:
Business Communication
Healthcare Management
Emerging Media Communication
Justice Administration:
Corrections Policing Digital Forensics
Clinical Laboratory Science (Phoenix Campus Only)
Neurodiagnostic Technology (New Jersey Only)
Technical Communication
Emergency Management
University Academic Form: Undergraduate Student Program/Specialization Declaration
Version: V. 1.1 Supersedes: V.1.0 June 5, 2013
Page 2 of 2
In New York, DeVry University operates as DeVry College of New York. DeVry is certified to operate by the State Council of Higher Education for Virginia. AC0060. DeVry University is authorized for operation by the THEC, www.state.tn.us/ thec. Nashville Campus – 3343 Perimeter Hill Dr., Nashville, TN 37211. Licensed by the Mississippi Commission on Proprietary School and College Registration,
Certification No. C-498. ©2013 DeVry Educational Development Corp.