African-American and African Studies Program Declaration Form

This form applies to all students who are interested in majoring or minoring in African-American and African Studies.

Please complete this form to declare.

For more information on the ODU African-American and African Studies major or minor, please contact Dr. Marvin Childs at mchiles@odu.edu.

Name Name * First Last
University ID (UIN) *
Current Address Current Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
ODU Email *
Which of the following is true? *

Which of the following is true? I wish to declare my major as African-American and African Studies (B.S.) I wish to declare my major as African-American and African Studies (B.A.) I wish to declare my minor as African-American and African Studies
This is a change of major from:
My former advisor is: My former advisor is: First Last
This is a double major. My primary major is:
My secondary major is:
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date * / MM / DD YYYY