Graduate Permit/Advisor Pin Clearance Form

Graduate Permit/Advisor Pin Clearance
Name*

First NameLast Name
Memphis Email*
uuid@memphis.com
UID
U00012345
Phone Number*

Area CodePhone Number
For which semester?*
Course/CRN*
Instructor's Name*
Course/CRN
Instructor's Name
Course/CRN
Instructor's Name
Would you like your advisor pin cleared
Comments or Questions:
The University of Memphis is an Equal Opportunity/Affirmative Action University. It is committed to the education of a non-racially identifiable student body.
Should be Empty: