Request To Change Advisor - School of Nursing and Health Studies

Student ID*

Email*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Advisor*

Requested New Advisor*

Please List One or Two. Please note that we will make every effort to fulfill your request, but the advisor you request may already have his or her full capacity of advisees

Requested New Advisor - Second

Reason for Requested Change*

Career Goals/Area or Interest*

We will use this information to help match you with an advisor that is closest to your interest, if your first choice isn't available.