Change in Specialty Request

I request to change my specialty to:

Approval Process:

Program Coordinator ___________________________________________________________ Date ________________

Approved ______ Not Approved ______

Director of DNP Program ________________________________________________________ Date _______________


*Note-This may take up to a week to complete

After approval/non-approval route to:

If approved send to OSS.  New POS : Initals __________ Date __________

If not approved send to OSS for student notification.