Registrar
University of Memphis - Students
Registrar Forms

Unless otherwise noted, forms are available in pdf format only. You must have Adobe's Acrobat Reader installed on your network or computer in order to view and print pdf forms.

All Users

Form: Name Change on Official University Record
Format: pdf
Use: Use this form to change your name on your records at the University. Use it regardless of your Relationship to the University--Student, Employee (Administrator, Faculty, or Staff), Alumnus or Alumna, Friend, or Donor.
More:

Check ALL Relationships that apply. Sign the form. Send the completed form and any required documentation to the office in the first Relationship checked.


 

Students

Form: Advising/Planning Registration Worksheet
Format: pdf
Use: Use this form to plan your semester class schedule. Include desired classes and alternatives.
Note: The form is maintained by the Academic Counseling Center. Links and information are provided here for your convenience.

 

Form: Audit - Request for Permission to Audit Class
Format: pdf
Use: Use this form to request permission to audit a course.
More: Instructions accompany this form; be sure to read them as well as bulleted information at the top of the form.

 

Form: Consent to Release Your Education Record
Format: pdf
Use: Use this form to authorize the release of your education record (ex., grades) to another person (ex., a parent or guardian) other than the University of Memphis and its employees.
Note: DO NOT USE THIS FORM TO REQUEST AN OFFICIAL TRANSCRIPT. (Use an Official Transcript request form instead.)
More: See Student Consent to Release Education Records for instructions and related information.

 

Form: Credit/No Credit - Request Change to/from Credit/No Credit
Format: web
Use: Use this form to request permission to change from standard grading to credit/no credit grading, or from credit/no credit grading to standard grading.
Note: By UM academic policy, you may not submit this type of request after the last day to add classes for the part of term has passed.
More: This request is allowed for undergraduate courses only. Instructions accompany the form; be sure to read them as well as bulleted information at the top of the form.

 

Form: Credit by Examination - Graduate
Format: pdf
Use: Use the form to apply for GRADUATE credit by examination.
Note: The form is maintained by the Graduate School. Links and information are provided here for your convenience.
More: Refer to the Credit by Exam and Course Validation sections of the online Graduate Catalog for guidelines and instructions pertaining to Graduate Credit by Examination. Contact the Graduate School if you have further questions.

 

Form: Credit by Examination - Undergraduate
Format: Pre-printed; available only in the Registrar's Office
Use: Use the form to apply for UNDERGRADUATE credit by examination.
More: See Undergraduate Credit by Examination for complete information and instructions.

 

Form: Excess Transcripts Request - Off-Campus Payment Form
Format: pdf
Note: Do not use this form if you intend to make your request at the Registrar's Office (003 Wilder Tower). A different payment form is available for you there.
Use: Use this form if you have submitted an off-campus request for transcripts and you have requested more than 20 transcripts. You will be charged $5.00 for each transcript over 20 copies. Use this form to make your payment.

 

Form: FERPA Form for non-Student System Users
Format: pdf
Use: Use this form if you are a student and must view or access student data to perform your University duties (ex., duties expected of a student worker or research assistant).
More: Complete the form, obtain all required signatures, and submit the original to the Registrar's Office, 003 Wilder Tower. Retain a copy of the completed form in your department's files.

 

Form: FERPA Student Researcher Agreement
Format: pdf
Use: Use this form if you are a student who is requesting access to confidential student records in order to conduct a University-approved research project.
More: The Institutional Review Board (IRB) must sanction your project and the use of the data involved. Submit the completed agreement to Curriculum and Assessment, 217 Administration Building.

 

Form: Full-Time, Online Only Student Immunization Exemption Request
Format: pdf
Use: Use this form if you are a full-time, online-only student who wants to be exempted from MMR and Varicella (chicken pox) immunization requirements.
More: Refer to Student Health Services' website for immunization information.

 

Form: Letter of Recommendation
Format: pdf
Use: Use this form to request a letter of recommendation from a faculty member.

 

Form: Official Transcript - Off-Campus Request for Official Transcript
Format: pdf
Use: Use this form to mail or fax your request for an OFFICIAL transcript from UM.
Note: Do not use this form if you intend to make your request at the Registrar's Office (003 Wilder Tower). A different form is available for you there.
More: See Requesting an Official Transcript.

 

Form: Restrict the Release of Directory Information
Format: pdf
Use: Use this form to prevent your Directory Information from being published in the Campus Directory.
More: Check ALL "acknowledgment" statements. Sign the form. See Release of Student Education Records (What Is Directory Information?) for instructions and related information.

 

Veterans

Form: Veterans Advance Pay Request - UM
Format: pdf
Use: Use this form to apply for advance payment.
More: Complete and sign the form. Deliver to Veterans Educational Benefits & Certification, 003 Wilder Tower, Memphis, TN 38152-3520. FAX: 901.678.1425. See the office's website for more information.

 

Form: Veterans Request for Certification - UM
Format: web (requires UM Username and Password)
Use: Use this form to register with the UM's Office of Veterans Services every semester in which you take classes.
More: Complete and sign the form. Deliver to Veterans Educational Benefits & Certification, 003 Wilder Tower, Memphis, TN 38152-3520. FAX: 901.678.1425. See the office's website for more information.

 

Form: VA Education Forms
Format: pdf
Use: These are US government forms; use them as required.
More: Instructions and forms are available on the VA web site. See the VA web site and Veterans Educational Benefits & Certification for more information.

 

Form: Yellow Ribbon Request
Format: pdf
Use: Use this form when registering for classes under Chapter 33, the Post-9/11 GI BillĀ® Yellow Ribbon Program.
(GI BillĀ® is a registered trademark of the U.S. Department of Veterans Affairs (VA). More information is available at the official U.S. government Web site at www.benefits.va.gov/gibill.)
More: Complete and sign the form. Deliver to Veterans Educational Benefits & Certification, 003 Wilder Tower, Memphis, TN 38152-3520. FAX: 901.678.1425. See the office's website for more information.

 

Faculty & Staff: Access & Authorized Signatures

Form: Access to Banner Student System
Format: pdf
Use: Use this form to request access to the Banner Student System.
More: Instructions are with the form.

 

Form: Authorized Signatures: Add
Format: pdf
Use: Use this form to assign new signature authority to officials in your area or to add new officials.
More: Processing instructions are on the form. See Authorized Signatures for links to lists of current officials and their authority.

 

Form: Authorized Signatures: Delete
Format: pdf
Use: Use this form to delete officials who no longer have signature authority for your area.
More: Processing instructions are on the form. See Authorized Signatures for links to lists of current officials and their authority.

 

Faculty & Staff: Curriculum & Scheduling

Form: Curriculum Planning Forms
Format: pdf
Use: Use the forms to request course revisions, new courses, or special topics courses.
More: These forms were created by, and belong to Academic Affairs.

 

Form: FedEx Institute of Technology Room Request
Format: pdf
Use: *For use by the FedEx Institute of Technology only.*
Use this form to reserve rooms for an upcoming term.

 

Form: Instructor Assignment Correction Log
Format: pdf
Use: Use this form to revise the instructor of record for a course/section.

 

Form: Non-Standard Course Offering
Format: pdf
Use: Use this form to schedule courses taught at non-standard times, contract courses (University funds <50%), or sponsored courses.

 

Form: Section Maintenance
Format: pdf
Use: Use this form to cancel, add, modify, or reactivate course sections.
More: Refer to the instructions on the form.

 

Form: Section Maintenance (for e-mails)
Format: Word
Use: Use this form only if you want to e-mail Section Maintenance requests.
More:
  1. Complete the form by highlighting each appropriate blank field and replacing it with data.
  2. Save the completed form to your system with a unique name.
  3. Login to your official UM e-mail account: your request must come from this account.
  4. E-mail the file (saved request) as an attachment to:
    reg_regsched@memphis.edu

 

Faculty & Staff: Student Records

Form: Academic Program Maintenance
Format: pdf
Use: Use this form for ALL academic program changes, including college, degree, major(s), minor(s), concentration(s), expected graduation term, catalog term, or student level (attribute).
More: Instructions are available with the form.

 

Form: Academic Record/Confidential File (Request Student's)
Format: pdf
Use: Use this form to request access to student data for legitimate business purposes.
More: Instructions are available with the form. See Faculty and Staff Access to Student Records for instructions and related information.

 

Form: Change in Reported Never-Attended or Stopped-Attending Date
Format: pdf
Use: Use this form to change one of these attendance dates for a student if the online grading period has ended. If the grading period is still open, change the date online instead.
More: Refer to the instructions on the form.

 

Form: Course Overload Approval
Format: pdf
Use: Use this form to approve either undergraduate or graduate course loads.
More: Instructions are available with the form.

 

Form: Degree Certification Correction
Format: pdf
Use: Use this form to correct information pertaining to a previously awarded degree.
More: Refer to the instructions on the form.

 

Form: Degree Certification Exception
Format: pdf
Use: Use this form to request an exception to degree certification. (Used primarily by Graduation Analysts.)
More: Refer to the instructions on the form.

 

Form: Grade Change
Format: pdf
Use: Use this form to change a student's grade after the online grading period has ended. If the grading period is still open, change the grade online instead.
More: Pay particular attention to the instructions in the "Signature Stamps Not Allowed" section.

 

Form: Grade Statement
Format: pdf
Use: Use this form to assign a grade to a student who attended your class but whose name did not appear on your class list by the grading period.
More: Refer to the instructions on the form.

 

Form: Incomplete Grade Extension
Format: pdf
Use: Use this form to extend an "I" grade for a student.
More: Refer to the instructions on the form.

 

Form: Instructor Sign Off for Late Registrations/Late Adds
Format: pdf
Use: Use this form to approve late registrations or late adds after the official College Approval End Date has passed.
More: If the student is requesting a Late Registration, he or she must submit an approved Request to Register After Late Registration form to the Registrar as well.

 

Form: Letter of Recommendation
Format: pdf
Use: If a student requests a letter of recommendation, have him or her complete this form.
More: Because some part of a student's education record is likely to be involved, a letter of recommendation for a student can have FERPA implications. Be sure to read Letters of Recommendation.

 

Form: Request for Approval to Register After Late Registration
Format: pdf
Use: Use this form to approve a student's request to register for classes after the last day of Late Registration has passed.

 

Form: Schedule Adjustment
Format: pdf
Use: *FOR ADVISOR USE ONLY* Use this form to initiate all schedule adjustments--adds, drops, and withdrawals.
More: Instructions are available with the form.

 

Parents

Form: Request for Disclosure of Education Record Information and Certification of Dependent Status
Format: pdf
Use: Use this form to request access to your student's academic record; your student must be a dependent for federal income tax purposes.
More: See Parent Request for Student Record for instructions and related information.

 

Lambuth University Students

Form: Authorization to Release Lambuth Patient-Related Form
Format: pdf
Use: Former Lambuth University students should use this form to authorize release of their Lambuth University medical records.
Note: This form is not for UM students/former students.
More: See Former Lambuth Students: Transcripts & Medical Records for instructions and related information.

 

Form: Request for Official Lambuth Transcript
Format: pdf
Use: Former Lambuth University students should use this form to request copies of their official Lambuth University transcript.
Note: This form is not for UM students/former students.
More: See Former Lambuth Students: Transcripts & Medical Records for instructions and related information.

 

  Forms by Audience

   Students
   Veterans
   Parents
   Faculty/Staff:
      Access & Authorized Signatures
      Curriculum & Scheduling
      Student Records
   Former Lambuth Students

 

Text Only | Print | Got a Question? Ask TOM | Contact Us | Memphis, TN 38152 | 901/678-2000 | Copyright 2014 University of Memphis | Important Notice | Last Updated: 
Admissions | Financial Aid | Registrar | Scholarships
Office of the Registrar | 003 Wilder Tower | Memphis, TN 38152-3520 | Ph: 901.678.2810 | Fx: 901.678.5757
Last Updated: 11/3/14