Interdisciplinary Undergraduate Minor
The Sexuality Studies minor form must be approved and signed by one of the coordinating advisers for the minor. Please contact Professor Debra Moddelmog (
moddelmog.1@osu.edu ) or Professor Mollie Blackburn (
blackburn.99@osu.edu ) to set up an appointment.
Student Name : ______________________________
Student ID : __________
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Minor : _______________
Expected Graduation : _____ _____
I have / have not filed an application with my college .
Student Address :
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Phone : _______________
Email : _________________________
Course Information :
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Hours : _____
Final Grade : _____
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Final Grade : _____
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Course Name & Number : _______________
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Advisor Information
Advisor Name : ____________________
Advisor Email : ____________________
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Advisor signature :
Date :
