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Worcester Polytechnic Institute

Office of the Registrar

Minor Declaration Form

Date: _____/______/_____

Name: ___________________________________ Student ID: _______________________________

Signature: _______________________________

Major 1: __________________________ Major 2: ___________________________

Expected Graduation Date (choose one): May

October

February Year: _____________

Minor advisor signature required if declaring a minor.

No signature necessary if removing a minor.

DECLARE following Minor: ______________

REMOVE following Minor: _______________

APPROVING MINOR DECLARATION

Minor Advisor Printed Name: _______________________________________________________

Minor Advisor Signature: __________________________________________________________ Date: ______________

Aerospace Engineering American Studies Architectural Engineering Astrophysics Biochemistry Bioinformatics Biology Business Chemistry Chinese Studies Computer Science Data Science Drama/Theatre Economics Electrical and Computer Engineering English Entrepreneurship Environmental & Sustainability Studies German Global Public Health History Interactive & Media Game Development **Individually Designed Minor

(select this if your Minor is not listed)

AE AS AREN ASP BC BCB BBI BU CH CHS CS DS DT EC ECE EN ER EVS GN GPH HI IMGD IDM

**NOTE: An Individually Designed Minor must be approved by CAO. The form for this minor is available upon request in the Registrar's Office.

Industrial Engineering International & Global Studies Law & Technology Management Information Systems Manufacturing Engineering Materials Mathematics Mechanical Engineering Media Art Music Nanoscience Philosophy & Religion Physics Political Science & Law Psychology Robotics Engineering Social Entrepreneurship Social Science Spanish Statistics Sustainability Engineering System Dynamics Writing & Rhetoric

Please submit completed form to the Office of the Registrar, First Floor Daniels Hall.

508-831-5211 (tel) 508-831-5931 (fax)

100 Institute Road, Worcester MA 01609-2280 wpi.edu/+registrar

IE INGS LT MIS MFE MTL MAT ME MEDA MU N1 PYRE PH PO PS RBE SOE SS SP STA SUE SD WR

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