Requirements:
3.0 Cumulative GPA
45 Hours Completed
Declared Major in Family and Consumer Sciences
Name ____________________________________________________________
Last, First, Middle
SS # __________________________ Liberty Phone # ____________________
LU Box # ______________________ Permanent Phone #__________________
Permanent Address _________________________________________________
_________________________________________________________________
Interest Area(s)/Major in FACS _______________________________________
Number of Credits In:
Family & Consumer Sciences Courses.....____________
General Education..............................____________
Total Credits.....................................____________
Today's Date __________________ Graduation Date _____________________
Career Choice _____________________________________________________
_________________________________________________________________
_________________________________________________________________

Date Rec'd: _____
Appr'ed by: _____