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Learning Community Educational & Career Interest Form
Please complete this form in order for your First Year Advisor to better place you into the learning community that fits your plan of study, and that is flexible enough should you decide to change majors.
First Name
Your answer
Preferred Name
Your answer
Last Name
Your answer
Jag Mail address (include @ jagmail.southalabama.edu)
Your answer
Other email address
Your answer
Major (if unsure indicate "Exploratory")
Your answer
Do you expect to transfer any AP or College credits?
If you answered "Yes" above list course(s) and your score(s) here.
Your answer
Will you be involved in any of the following at the University of South Alabama?
Are you interested in going to any of the following Health Profession Graduate Schools?
Digital Signature (full name)
Your answer
Date
MM
/
DD
/
YYYY
Important: For complete program policies, please refer to the Undergraduate/Graduate Bulletin or see an Academic Advisor.
Thank you for submitting this form! If you decide to change your major or have questions, please email Tina Hancock at thancock@southalabama.edu or call 251-460-6985.
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