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									Request for GPA Restart
(RE 600)
                                                                                                  Office of Graduate Center                                   1
                   INSTRUCTIONS:

     Use this form to request a GPA restart. For graduate students pursuing the MS degree, GPA can be
     restarted under the following conditions:
1.   Student changes major and the change of major is approved by both the new department and the Graduate Academics
     office.
2.   The student requests that the GPA is restarted and the request is approved by the Graduate Academics office. The
     request to restart the GPA must be made during or before the first semester in the new major.
3.   Courses taken prior to the GPA restart cannot be counted towards satisfying the degree requirements of the new major.
4.   GPA restart is only for the MS degree; GPA cannot be restarted at the beginning of the PhD degree program.
5.   GPA restart will be noted on the student's transcript.
     Take the form to your Departmental Adviser for verification and approval, and return to the office of the
     Associate Provost for Graduate Academics (Rogers Hall 216) for final approval.                                                                           2

                   STUDENT INFORMATION:


                           First Name                                              Last Name                                Poly ID#


                                     Email Address                                                     Telephone Number


                         Academic Home Department                                                    Academic Major


                                    Signature                                             Date (MM/DD/YYYY)                           10/2/2012
                                                                                                                                                              3
                   REQUESTED CHANGE:
     GPA Restart:

                                                                                                This change to be effective for the               semester.
                   Date admitted to graduate studies

                                                      Reason for change:



                                  STUDENTS: DO NOT WRITE BELOW THIS LINE
                                         ADMINISTRATIVE ACTION
            Approved                  Denied



       International Students Office Representative                          Signature                                    Date

            Approved                  Denied          Conditions (if any):


            New Department Adviser's Name                                    Signature                                    Date

            Approved                  Denied          Conditions (if any):




           Graduate Academics Representative                                 Signature                                    Date



            Registrar's Office Verifier's Name                               Signature                                    Date

                                                                              Request for GPA Restart (RE 600)_Sep2012




                                                                                                                                                                  Data goes here…
                                                                                                                                                                                       1
                                                                                                                                                                                       1    Select Academic Department/Program
                                                                                                                                                                                       2    Chemical and Biomolecular Engineering                         Chemical and Biomolecular Engineering (CBE)
                                                                                                                                                                                       3    Civil and Urban Engineering                                   Civil and Urban Engineering (CUE)
                                                                                                                                                                                       4    Computer Science and Engineering                              Computer Science and Engineering (CSE)
                                                                                                                                                                                       5    Electrical and Computer Engineering                           Electrical and Computer Engineering (ECE)
                                                                                                                                                                                       6    Finance and Risk Engineering                                  Finance and Risk Engineering (FRE)
                                                                                                                                                                                       7    Technology, Culture and Society                               Technology, Culture and Society (TCS)
                                                                                                                                                                                       8    Mathematics                                                   Mathematics (MA)
                                                                                                                                                                                       9    Mechanical and Aerospace Engineering                          Mechanical and Aerospace Engineering (ME)
                                                                                                                                                                                      10    Physics                                                       Physics (PH)
                                                                                                                                                                                      11    Technology Management                                         Technology Management (TM)
                                                                                                                                                                                      12                                                                  --------------------------------------------------------------------------------------
                                                                                                                                                                                            --------------------------------------------------------------------------------------
                                                                                                                                                                                      13    Interdisciplinary Programs (Industrial Engineering) Interdisciplinary Programs (Industrial Engineering) (IP-IE)
                                                                                                                                                                                      14    Interdisciplinary Programs (Manufacturing Engineering)        Interdisciplinary Programs (Manufacturing Engineering) (IP-MNF)
                                                                                                                                                                                      15    Interdisciplinary Programs (Bioinformatics)                   Interdisciplinary Programs (Bioinformatics) (IP-BIO)
                                                                                                                                                                                      16    Undeclared                                                    Undeclared




                                                                                                                                                                              Last Name:
                                                                                                                                                                       Proper Last Name:
                                                                                                                                                                              First Name:



                                                                                                                                                                                       1
                                                                                                                                                                                       1    Semester
                                                                                                                                                                                       2    Spring                                                       Spring
                                                                                                                                                                                       3    Summer                                                       Summer
                                                                                                                                                                                       4    Fall                                                         Fall


                                                                                                                                                                                       1
                                                                                                                                                                                       1    Year
                                                                                                                                                                                       2    2011                                                         2011
                                                                                                                                                                                       3    2012                                                         2012
                                                                                                                                                                                       4    2013                                                         2013
                                                                                                                                                                                       5    2014                                                         2014
                                                                                                                                                                                       6    2015                                                         2015
                                                                                                                                                                                       7    2016                                                         2016
                                                                                                                                                                                       8    2017                                                         2017
                                                                                                                                                                                       9    2018                                                         2018
                                                                                                                                                                                      10    2019                                                         2019
                                                                                                                                                                                      11    2020                                                         2020
                                                                                                                                                                                      12    2021                                                         2021
                                                                                                                                                                                      13    2022                                                         2022
                                                                                                                                                                                      14    2023                                                         2023
                                                                                                                                                                                      15    2024                                                         2024
                                                                                                                                                                                      16    2025                                                         2025
                                                                                                                                                                                      17    2026                                                         2026
                                                                                                                                                                                      18    2027                                                         2027
                                                                                                                                                                                      19    2028                                                         2028
                                                                                                                                                                                      20    2029                                                         2029
                                                                                                                                                                                      21    2030                                                         2030
                                                                                                                                                                                      22    2031                                                         2031
                                                                                                                                                                                      23    2032                                                         2032
                                                                                                                                                                                      24    2033                                                         2033
                                                                                                                                                                                      25    2034                                                         2034
                                                                                                                                                                                      26    2035                                                         2035
                                                                                                                                                                                      27    2036                                                         2036
                                                                                                                                                                                      28    2037                                                         2037
                                                                                                                                                                                      29    2038                                                         2038
                                                                                                                                                                                      30    2039                                                         2039

                                                                                                                                                                                       1    Description                                                  Acad Prog                                                     Acad Plan
                                                                                                                                                                                       1    Select Major
                                                                                                                                                                                       2    Master of Business Admin                                     Master of Business Admin (MBA)                                MBA
                                                                                                                                                                                       3    Master of Engineering                                        Master of Engineering (ME)                                    ME
                                                                                                                                                                                       4    Interdisp Study in Engineering                               Interdisp Study in Engineering (ME/IS)                        ME/IS
                                                                                                                                                                                       5    MS Aeronautics & Astronautics                                MS Aeronautics & Astronautics (MS/AE)                         MS/AE
                                                                                                                                                                                       6    MS Applied Mechanics                                         MS Applied Mechanics (MS/AM)                                  MS/AM
                                                                                                                                                                                       7    MS Applied Mathematics                                       MS Applied Mathematics (MS/AP)                                MS/AP
                                                                                                                                                                                       8    MS Bioengineering                                            MS Bioengineering (MS/BE)                                     MS/BE
                                                                                                                                                                                       9    MS Biomedical Engineering                                    MS Biomedical Engineering (MS/BM)                             MS/BM
                                                                                                                                                                                      10    MS Biotechnology & Entrepreneurship                          MS Biotechnology & Entrepreneurship (MS/BT)                   MS/BT
                                                                                                                                                                                      11    MS Biotechnology                                             MS Biotechnology (MS/BY)                                      MS/BY
                                                                                                                                                                                      12    MS Civil Engineering                                         MS Civil Engineering (MS/CE)                                  MS/CE
                                                                                                                                                                                      13    MS Chemical Engineering                                      MS Chemical Engineering (MS/CH)                               MS/CH
                                                                                                                                                                                      14    MS Chemistry                                                 MS Chemistry (MS/CM)                                          MS/CM
                                                                                                                                                                                      15    MS Construction Management                                   MS Construction Management (MS/CN)                            MS/CN
                                                                                                                                                                                      16    MS Computer Engineering                                      MS Computer Engineering (MS/CO)                               MS/CO
                                                                                                                                                                                      17    MS Chemical Physics                                          MS Chemical Physics (MS/CP)                                   MS/CP
                                                                                                                                                                                      18    MS Computer Science                                          MS Computer Science (MS/CS)                                   MS/CS
                                                                                                                                                                                      19    MS Cyber Security                                            MS Cyber Security (MS/CY)                                     MS/CY
                                                                                                                                                                                      20    MS Dental Materials Science                                  MS Dental Materials Science (MS/DM)                           MS/DM
                                                                                                                                                                                      21    MS Environment-Behavior Studies                              MS Environment-Behavior Studies (MS/EB)                       MS/EB
                                                                                                                                                                                      22    MS Electrical Engineering                                    MS Electrical Engineering (MS/EE)                             MS/EE
                                                                                                                                                                                      23    MS Environmental Health Science                              MS Environmental Health Science (MS/EH)                       MS/EH
                                                                                                                                                                                      24    MS Environmental Science                                     MS Environmental Science (MS/EN)                              MS/EN
                                                                                                                                                                                      25    MS Electrophysics                                            MS Electrophysics (MS/EP)                                     MS/EP
                                                                                                                                                                                      26    MS Economic Systems                                          MS Economic Systems (MS/ES)                                   MS/ES
                                                                                                                                                                                      27    MS Environmental Engineering                                 MS Environmental Engineering (MS/EV)                          MS/EV
                                                                                                                                                                                      28    MS Financial Engineering                                     MS Financial Engineering (MS/FE)                              MS/FE
                                                                                                                                                                                      29    MS History of Science                                        MS History of Science (MS/HS)                                 MS/HS
                                                                                                                                                                                      30    MS Industrial & Applied Math                                 MS Industrial & Applied Math (MS/IA)                          MS/IA
                                                                                                                                                                                      31    MS Industrial Chemistry                                      MS Industrial Chemistry (MS/IC)                               MS/IC
                                                                                                                                                                                      32    MS Integrated Digital Media                                  MS Integrated Digital Media (MS/ID)                           MS/ID
                                                                                                                                                                                      33    MS Industrial Engineering                                    MS Industrial Engineering (MS/IE)                             MS/IE
                                                                                                                                                                                      34    MS Imaging Sciences & Engineer                               MS Imaging Sciences & Engineer (MS/IG)                        MS/IG
                                                                                                                                                                                      35    MS Bioinformatics                                            MS Bioinformatics (MS/IH)                                     MS/IH
                                                                                                                                                                                      36    MS Information Management                                    MS Information Management (MS/IM)                             MS/IM
                                                                                                                                                                                      37    MS Information Systems Engineering                           MS Information Systems Engineering (MS/IN)                    MS/IN
                                                                                                                                                                                      38    MS Industrial Engineering & Operations Research              MS Industrial Engineering & Operations Research (MS/IO)       MS/IO
                                                                                                                                                                                      39    MS Distributed Info Sys Engineering                          MS Distributed Info Sys Engineering (MS/IS)                   MS/IS
                                                                                                                                                                                      40    MS Information Systems Engineering                           MS Information Systems Engineering (MS/IY)                    MS/IY
                                                                                                                                                                                      41    MS Journalism & Technical Writ                               MS Journalism & Technical Writ (MS/JT)                        MS/JT
                                                                                                                                                                                      42    MS Specialized Journalism                                    MS Specialized Journalism (MS/JW)                             MS/JW
                                                                                                                                                                                      43    MS Specialized Journalism                                    MS Specialized Journalism (MS/JW)                             MS/JW
                                                                                                                                                                                      44    MS Mathematics                                               MS Mathematics (MS/MA)                                        MS/MA
                                                                                                                                                                                      45    MS Mechanical Engineering                                    MS Mechanical Engineering (MS/ME)                             MS/ME
                                                                                                                                                                                      46    MS Management                                                MS Management (MS/MG)                                         MS/MG
                                                                                                                                                                                      47    MS Metallurgical Engineer                                    MS Metallurgical Engineer (MS/ML)                             MS/ML
                                                                                                                                                                                      48    MS Manufacturing Engineering                                 MS Manufacturing Engineering (MS/MN)                          MS/MN
                                                                                                                                                                                      49    MS Management of Technology                                  MS Management of Technology (MS/MO)                           MS/MO
                                                                                                                                                                                      50    MS Management of Technology                                  MS Management of Technology (MS/MO)                           MS/MO
                                                                                                                                                                                      51    MS Mgmt of Technology                                        MS Mgmt of Technology (MS/MO)                                 MS/MO
                                                                                                                                                                                      52    MS Metallurgy & Materials Science                            MS Metallurgy & Materials Science (MS/MS)                     MS/MS
                                                                                                                                                                                      53    MS Materials Science                                         MS Materials Science (MS/MT)                                  MS/MT
                                                                                                                                                                                      54    MS Nuclear Engineering                                       MS Nuclear Engineering (MS/NU)                                MS/NU
                                                                                                                                                                                      55    MS Organizational Behavior                                   MS Organizational Behavior (MS/OB)                            MS/OB
                                                                                                                                                                                      56    MS Operations Management                                     MS Operations Management (MS/OM)                              MS/OM
                                                                                                                                                                                      57    MS Operations Research                                       MS Operations Research (MS/OR)                                MS/OR
                                                                                                                                                                                      58    MS Physics                                                   MS Physics (MS/PH)                                            MS/PH
                                                                                                                                                                                      59    MS Physical Metallurgy                                       MS Physical Metallurgy (MS/PM)                                MS/PM
                                                                                                                                                                                      60    MS Polymeric Materials                                       MS Polymeric Materials (MS/PO)                                MS/PO
                                                                                                                                                                                      61    MS Polymer Science and Engineering                           MS Polymer Science and Engineering (MS/PS)                    MS/PS
                                                                                                                                                                                      62    MS System Engineering                                        MS System Engineering (MS/SE)                                 MS/SE
                                                                                                                                                                                      63    MS Tech & Professional Communications                        MS Tech & Professional Communications (MS/T&PC)               MS/T&PC
                                                                                                                                                                                      64    MS Transportation Engineering                                MS Transportation Engineering (MS/TE)                         MS/TE
                                                                                                                                                                                      65    MS Telecommunications Mgmt                                   MS Telecommunications Mgmt (MS/TL)                            MS/TL
                                                                                                                                                                                      66    MS Telecom and Computing Mgt                                 MS Telecom and Computing Mgt (MS/TM)                          MS/TM
                                                                                                                                                                                      67    MS Telecom and Info Mgt                                      MS Telecom and Info Mgt (MS/TM)                               MS/TM
                                                                                                                                                                                      68    MS Telecommunication Netw orks                               MS Telecommunication Netw orks (MS/TN)                        MS/TN
                                                                                                                                                                                      69    MS Transport Planning and Engineering                        MS Transport Planning and Engineering (MS/TP)                 MS/TP
                                                                                                                                                                                      70    MS Transportation Management                                 MS Transportation Management (MS/TR)                          MS/TR
                                                                                                                                                                                      71    MS Technical Writ & Spec Journalism                          MS Technical Writ & Spec Journalism (MS/TW)                   MS/TW
                                                                                                                                                                                      72    MS Unclassified                                              MS Unclassified (MS/UC)                                       MS/UC
                                                                                                                                                                                      73    MS Undeclared                                                MS Undeclared (MS/UN)                                         MS/UN
                                                                                                                                                                                      74    MS Urban Sys Engineering & Mgmt                              MS Urban Sys Engineering & Mgmt (MS/US)                       MS/US
                                                                                                                                                                                      75    MS Yeda Management                                           MS Yeda Management (MS/YM)                                    MS/YM
                                                                                                                                                                                      76    MS Yeda Organizational Behavior                              MS Yeda Organizational Behavior (MS/YO)                       MS/YO

								
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