* denotes required information
Part 1: Student Information
     
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Part 2: Changes to be made to application

I would like to change my term of entry (proceed to and complete part 2A)

I would like to cancel my application (proceed to and complete part 2B)



Part 2A: Change of Entry Term

NOTE: Your application for admission is valid for one calendar year from the date of the original submission.

Change entry term to (indicate semester and year):  Example: fall 2014

Will you be attending another college/university during this time: Yes      No

If yes, please indicate name of institution:  



Part 2B: Cancel Application

NOTE: By completing this section of the form, you are canceling your application for admission and/or declining our offer of admission. If you have applied for financial aid, scholarships, or university housing, we ask that you please notify the appropriate parties of your decision to no longer enroll.

 I am no longer interested in enrolling at Texas A&M University-Texarkana and ask that you please cancel my application for admission.

 Please provide a reason for cancelling your application:


 By checking this box, I give permission to the Admission Office to make the above changes to my application for admission.