Wufoo

Date: * MM / DD / YYYY
Please list today's date.
Name: * First Last
List only your official name. Do not use nicknames or alternate names.
Panther #: *
Maximum Allowed: 9 characters. Currently Used: 0 characters.

Your Panther # is the 9 digit number listed on the front of your Panther ID card.
GSU student email address: *

Official decisions will be communicated only to your GA State email address.
Daytime Phone Number: * ### - ### - ####
Please list your Degree Program: *
Existing MPA Concentration: *
Requested MPA Concentration: *
Existing MPP Concentration: *
Requested MPP Concentration: *
Attention! This form regards concentration changes only. If you are requesting a course substitution to an existing individual concentration, you must complete the Graduate Petition Form at Graduate petition form.
If requesting an individual concentration, provide a list of all the courses to be included: *

Please list each course in your indiviual concentration. List the prefix, number and name of the course. 4 courses for MPA and 5 for MPP. Ex:
MPA Individual concentration
PMAP 8521 - Evalu..
PMAP 8210 - Intro..
PMAP 8281 - Dis....
PMAP 8010 - Soc...
What is the reason for your concentration change request? Please provide a short rationale. *

Please clearly state your request and provide a concise and logical rational of your request.
Do Not Fill This Out