GR Modify Program

This form is ONLY for advisors assisting students who want to modify their current program. It should be filled out by the student's departmental ADVISOR/Graduate coordinator ONLY.

Name of Advisor/Graduate Coordinator

Email of Advisor/Graduate Coordinator

Student's Information

University ID # (UID):

University of Memphis Email Address:

First Name

Middle Name

Last Name

Birthdate

Program Information

Which of the following statements best describes what the student would like to do? Choose one.
Note:

If the student is adding and dropping at the same time, choose the "add" option that fits and then use the text boxes below to type out what needs to be dropped or more information about what the student would like to do.
If the student wants to add more than one program, you will need to fill out a separate form for each program they want to add.

Which of the following statements best describes what the student would like to do? Choose one.
Note:

If the student is adding and dropping at the same time, choose the "add" option that fits and then use the text boxes below to type out what needs to be dropped or more information about what the student would like to do.
If the student wants to add more than one program, you will need to fill out a separate form for each program they want to add.

Please select the program the student wishes to add/drop:

Degree Level

Major

Degree

Campus

Graduate Certificate - Nursing Education is a UM Global only program.

Concentration

Entry Term

If the student is adding a program and would also like to drop a program at the same time, please specify which program the student would like to drop.

If the student is doing multiple things please provide a short description of what they would like to do: (i.e. the student is maintaining their enrollment in the PhD but adding the MA along the way and dropping the concentration in XYZ).

Signature

As the student's academic advisor, I approve the above changes to the student's academic program.

In place of your signature, please type your full legal name: