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Academic Bulletin Change Request

I enrolled as a student under the Academic Bulletin. I wish to change my bulletin to the Academic Bulletin. I understand that

the Academic Bulletin will be used to determine progress towards my earning a degree.
I must fulfill all the requirements form the Academic Bulletin listed for my degree. I can not combine requirements from multiple Academic Bulletins.

Student Name :

Student ID :

Student Email :

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

June 21, 2017 8:59 am CST

Academic Bulletin Change Request Uploaded by KWC eForms Administrator - eforms@kwc.edu IP 24.106.144.66

March 2, 2018 3:09 pm CST

Lindsey Crowe - lcrowe@kwc.edu added by C Bryan Blount - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66

October 2, 2018 3:19 pm CST

Lindsey Crowe - lcrowe@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66

October 2, 2018 3:51 pm CST

Lindsey Crowe - lcrowe@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66

October 2, 2018 3:51 pm CST

Margaret Smith - margaret.smith@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66