Change of Application Status

First Name:
Middle Name:
Last Name:
Birthdate:
Home Phone:	- -
Type of change:
Original Entry Term:
New Entry Term:	If new term is more than 5 terms from original, then you must submit a new application
Academic Area of Interest:
Reason for change:
Comments:
	By submitting this form, I certify that I am the individual stated above and that I agree to allow Southern Oregon University Office of Admissions to make the indicated changes to my application for admissions.

Southern Oregon University