Graduate Nursing Change of Program Status Request Form

Your Texas State University ID Number (A#) *

Your First Name *

Your Middle Initial

Your Last Name *

Your Texas State Email Address: *

Your Current Graduate Nursing Degree Program *

MSN-FNP

MSN-LAN

MSN-PMHNP

PMHNP Post-Master's Certificate

Your CURRENT Program Status *

Full-time

Part-time

To Which Status Would You Like to Change? * SelectFull-timePart-Time

Reason for Change Request (mandatory): *

Type Your Full Name *

Submit