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Learning Community Educational & Career Interest Form
Please complete this form in order for your 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.
J Number (example J00XXXXXX)
Jag Mail address (include @
Other email address
Major (if unsure indicate "Exploratory")
Do you expect to transfer any AP or College credits?
If you answered "Yes" above list course(s) and your score(s) here.
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?
Occupational Therapy School
Physical Therapy School
Physician Assistant School
Veterinary Medicine School
Digital Signature (full name)
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
or call 251-460-6985.
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