Pre-Designation Request Form

Butler University Pre-Designation Code Addition or Removal

Students or their advisors should use this form to add or remove a pre-health or pre-professional interest to the student’s Butler record.

Name(Required)

First Last

Email(Required)

Butler University ID Number(Required)

Pre-Designation Code Action(Required)

I would like to add a pre-designation code

I would like to remove a pre-designation code

Pre-Designation(Required)