CHANGE OF PROGRAMME FORM

A Change of Programme must be agreed with the Programme Leader of your current programme and the Programme Leader of the programme you are looking to move to.

You complete this	QMU Student Number	Click or tap here to enter text.
Full Name	Click or tap here to enter text.

The Programme you are currently enrolled on:
You complete this	Programme	Click or tap here to enter text.
Level of Study	1 ☐	2 ☐	3 ☐	4 ☐	Associate or Postgrad ☐
Your Current Programme Leader completes this	Release Signature of Programme Leader	Click or tap here to enter text.
Date approved	Click or tap to enter a date.

The Programme you want to change to:
You complete this	Programme	Click or tap here to enter text.
Level of Study	1 ☐	2 ☐	3 ☐	4 ☐	Associate ☐
The Programme Leader of the programme you are requesting to change to completes this	Acceptance Signature of Programme Leader	Click or tap here to enter text.
Date this change is effective from	Immediate ☐
Start of next semester ☐
Start of next academic year ☐
Any conditions of change (eg. Must complete all current enrolled modules)	Click or tap here to enter text.
Date approved	Choose a building block.

You complete this	Student Signature	Click or tap here to enter text.
Date	Click or tap to enter a date.

Please email your completed form to AcademicAdministration@qmu.ac.uk

FOR OFFICE USE ONLY:
SCE	SMO	SPR	SCJ	UKVI	FTR/SSP