Florida University Southeast – Program change request form PROGRAM CHANGE REQUEST FORM To transfer to a new program please fill out the questions below carefully and submit the program change request form. Your request is considered official only when it is reviewed and approved by a FUSE representative. Before you submit this form, we encourage you to discuss your decision with your program advisor/coordinator . Name * Name First First Middle Middle Last Last Students Institutional Email: * Please enter your institutional email address (this is your first name initial, your last full name followed by @myfuse1.education) Date * Current program: * Program change to: * Reason for Change: * Signature (Full Name) * Clear If you are human, leave this field blank. Submit
