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2012 Graduate Expo

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The Graduate School
Eastern Illinois University
600 Lincoln Avenue
Charleston, IL 61920
Phone: 217-581-2220
Fax: 217-581-6020
E-mail: graduate@eiu.edu

Change of Status Form

Name * First Last
Date / MM / DD YYYY
EIU E# *
Previous Names (If Applicable)
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone Number * - (###) - ### ####
E-mail Address *
Admission Information
Year Admitted to Take Graduate Courses at EIU *
I Was Admitted to Pursue the Following Type of Degree: *
If You Chose Graduate Degree, Teacher's Certification, or Second Bachelor's Degree, Please List the Degree and Major or Certification Field:
If You Chose Certificate Program, Please Specify Which Program You Entered:
New Status Information
I Wish to Change or Update My Status to Pursue: *
If You Chose MA, MS, MSED, Teacher's Certificate or Second Bachelor's Degree, Please Specify the Field of Your Desired Degree and Major or Certification:
If You Chose Certificate Program, Please Specify the Program You Wish to Enter:
List Completed Graduate Degrees at EIU (For Example, MA-History, 2006): *
Effective Semester for Change *

Eastern Illinois University Homepage

Prospective Students

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2012 Graduate Expo

Contact Us

Change of Status Form

Change of Status Form

Admission Information

New Status Information