COLLEGE OF ARTS AND SCIENCES
DECLARATION OF MINOR

Name:_________________________________I.D.#:___________________________________

Address:_____________________________________________________________________________

City, State, Zip:________________________________________________________________________

Local Telephone #:________________________ E-mail Address:_________________________________

MINOR REQUESTED________________________ Current Major(s)_________________________

Degree Sought: _________B.A. ___________B.S. _________Honors Program __________Double Degree

Total Degree Hours Completed:______________________ SLU GPA:_____________________________

Anticipated Graduation Date:______________________________________________________________

Courses Completed in the MINOR:

Courses       Grade         Hrs.                                          Courses          Grade         Hrs.
______________________________________           _______________________________________
______________________________________           _______________________________________
______________________________________           _______________________________________
______________________________________           _______________________________________


Student Signature___________________________Date:______________________________________
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For Department Use Only:

I hereby: Accept______ Defer______ Reject______

His/Her Departmental Advisor will be:

Name:_____________________________________ S.S.#____________________

Chair/Coordinator:____________________________Date:_____________________