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Shifting Form PDF

The document is a request form from Mindanao State University for a student to shift or change their program of study. It collects information about the student such as name, age, current and requested program, year level, and contact details. It asks the student to select their reason for shifting programs from a list of 10 options. The form is then reviewed by a guidance counselor who provides comments and recommendations. Finally, it requires approval signatures from the department chairperson and division of student affairs director to officially shift the student's program of study.

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Dayana Mangorobong
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134 views2 pages

Shifting Form PDF

The document is a request form from Mindanao State University for a student to shift or change their program of study. It collects information about the student such as name, age, current and requested program, year level, and contact details. It asks the student to select their reason for shifting programs from a list of 10 options. The form is then reviewed by a guidance counselor who provides comments and recommendations. Finally, it requires approval signatures from the department chairperson and division of student affairs director to officially shift the student's program of study.

Uploaded by

Dayana Mangorobong
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

MINDANAO STATE UNIVERSITY


Marawi City

REQUEST TO SHIFT PROGRAM OF STUDY


Date:_________________

Name: _________________________________________________ Gender: ____ Age: ____ Civil Status: ____________


Family Name Given Name M.I.
Present Program: _________________ Shifting to: ___________________ Year Level: ______ Contact No.:__________
Scholarship Status: ____________________
Campus Address: ____________________________________ Name of Guardian: _______________________________
Address of Guardian: _________________________ Contact #:___________ Relationship to Guardian: ___________

COLLEGE CLEARANCE AT THE END OF EACH SEMESTER.

Number of times you have shifted Program: ______

Reasons why you are shifting course now: (please check reason/s applicable to you)
_____ 1. Advised to shift by the adviser.
_____ 2. Found difficulty in _____________________________ (specify the course).
_____ 3. Failed in pre-requisite course.
_____ 4.To finish program faster.
_____ 5. For better employment opportunity and more financial returns.
_____ 6. Present program chosen by parents/relatives/friends.
_____ 7. Present program chosen by the university.
_____ 8.To proceed to Medicine or Law.
_____ 9. Found present program expensive.
_____ 10. Other reasons (please specify) _________________________________________________________________

Findings/Comments/Remarks by the Guidance Specialist/Counselor:


_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

Note:
Upon receiving this form, follow the steps below: __________________________________
STEP 1: Fill in the blanks with the necessary information. Guidance Counselor/ Specialist
STEP 2: Proceed to Guidance Counselor for interview/ Printed Name & Signature
counseling /recommendation.
STEP 3: Go to the Department where you will be shifting for
admission.

Evaluation/Recommendation by Guidance Specialist/Counselor:


_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Republic of the Philippines
MINDANAO STATE UNIVERSITY
Marawi City
DIVISION OF STUDENT AFFAIRS
REQUEST TO SHIFT PROGRAM OF STUDY
Date:_________________

___ Approved by the College of ______________________________ Course: ___________________________________


___ Disapproved by the College of ________________________ Reason/s for disapproval:_________________________

__________________________________
Department Chairperson
Printed Name & Signature

DSA FILE
--cut here --------x----------x----------x----------x----------x----------x----------x----------x----------x----------x----------x----------x

Republic of the Philippines


MINDANAO STATE UNIVERSITY
Marawi City
DIVISION OF STUDENT AFFAIRS
REQUEST TO SHIFT PROGRAM OF STUDY
Date:_________________
Name: ______________________________
Address: ____________________________
Dear Mr./Ms. ________________________
Please be informed that your application for Shifting of Study to _______________________________________ College of
________________________________ has been approved as a/__ / regular student /__ / on probation status.

___________________________
Accepting Academic Adviser
Printed Name & Signature
Noted:________________________
REGISTRAR’S COPY DSA Director

--cut here --------x----------x----------x----------x----------x----------x----------x----------x----------x----------x----------x----------x

Republic of the Philippines


MINDANAO STATE UNIVERSITY
Marawi City
DIVISION OF STUDENT AFFAIRS
REQUEST TO SHIFT PROGRAM OF STUDY
Date:_________________
Name: ______________________________
Address: ____________________________
Dear Mr./Ms. ________________________
Please be informed that your application for Shifting of Study to _______________________________________ College of
________________________________ has been approved as a/__ / regular student /__ / on probation status.

___________________________
Accepting Academic Adviser
Printed Name & Signature

Noted: ________________________
DSA Director

STUDENT’S COPY

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