Petition for Second Graduate Program

Second Graduate Program
Student Name:*

First NameLast Name
Phone Number:*
Email associated with your application*
example@etsu.edu
E-number (if a previous student):
I request to pursue a second graduate program in:
Program:*
Major Field of Study:*
Option / Concentration:
ThesisNon-Thesis
My first graduate program is in:
Program:*
Major Field of Study:*
Option / Concentration:
Earned at Institution:*
Date degree/certificate awarded:*

MonthDayYear
Date
Graduate Coordinator's Email:*
example@etsu.edu
You can find your Graduate Coordinator here.
Date:

MonthDayYear
Date
Student's Signature*

Clear
Graduate Coordinator Section
We, the undersigned, have read the policy on a second graduate program in the ETSU graduate catalog, have evaluated the transcript reflecting the student’s first graduate program, and will list courses below that that will meet all specific program requirements for the second graduate program. We hereby approve the second graduate program track for the above-named student.

To stay within accreditation requirements students may apply no more than 30% of previous course work to a new degree.
Courses that will apply to second program (if there are no reductions add N/A to the fields to continue):*
Date:

MonthDayYear
Date
Graduate Coordinator's Signature*

Clear
Application Status:*

ApprovedDeniedDuplicate
Date:

MonthDayYear
Date
Comments:
Associate Dean's Signature*

Clear
Should be Empty:

Second Graduate Program