ࡱ> 02/  bjbj 4||     4444$X4.tttttOOO$@ 'OO''  tt'" t t't IR}0 OL6,*OOO"OOO''''OOOOOOOOO : University of Memphis Instruction & Curriculum Leadership Student Communication Form Date:____________________________ PLEASE PRINT CLEARLY Name:___________________________________ UUID:_______________ Address:_________________________________________ Street City/State ZIP Telephone: Home: ( )__________________ Work: ( )_______________ Cell: ( )_________________ Email:___________________________________________________________ Circle One: Freshman Sophomore Junior Senior Graduate Major:______________________ Circle One: BSED MS MAT EDS EDD Projected ֱ Date: Semester: __________ Year: __________ Date Admitted to TEP: ______________________ What is the nature of your request? Please be specific. Possible Solution? What is an alternative if this solution is not possible? Advisor/Professor Recommendation: _______________________________________________ Advisor/Professor Signature Chair Recommendation: _________________________________________________ Chair Signature Action/Follow-Up A Tennessee Board of Regents Institution An Equal Opportunity/Affirmative Action University Dkno       @ B F G Q Z c x y ú䙮䮢䑉~v~䮢jbhQ CJaJhghQ 5CJaJhDCJaJhB*-hB*-CJaJhDCJaJhB*-CJaJh5CJaJhghv@E5CJaJhgh5CJaJh5CJaJhh5CJaJhF5CJaJhZh5CJaJhCJaJhhCJaJhgh5#EG x y 5 6 7 8 q r s t u v w x 0]0gdD0]0gd  4 5 6 < A ] c e s y ڶ궫ڶڣŠړ~rjjړjh7CJaJhv@Eh75CJaJhv@EhB*-5CJaJhg5CJaJhv@ECJaJhCJaJhH8CJaJhB*-hB*-CJaJhB*-hB*->*CJaJhghv@E5CJaJhghB*-5CJaJhB*-CJaJhQ CJaJhH8>*CJaJhQ hQ >*CJaJ%    $ 8 q x % @ A B C W X Y 믧믗{{s{׏{{shH8CJaJhghL5CJaJhghv@E5hLCJaJhghL5hM=(CJaJhghM=(5hgh75hgh75CJaJhghv@E5CJaJhgCJaJhv@ECJaJhgh75CJaJh7CJaJhv@Ehcq5CJaJ+ % B C Y Z [ \ ] ^ 0]0gd  $0]0a$gdD 0]0^gdD0]0gd   hDhD6CJaJhLCJaJhDCJaJ21h:pD/ =!"#$% ^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List H@H  Balloon TextCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]       8@0(  B S  ?ȠȠȠɠɠ 9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsState Fsux333333BFZcxxyy566sy  $qqxx@AIW(' PZ V#M=(B*->v@E*LJ3P"R-DSDc`icqezLF]N7xr45b88wsQ DgA8DH8&Tpp9@@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial5. .[`)TahomaA$BCambria Math"1h;';'̘R R !243QHP ?2!xx University of Memphis Brenda WoodsHilary Dawn DeLuco (hddeluco)Oh+'0t  $ 0 < HT\dlUniversity of MemphisBrenda WoodsNormal Hilary Dawn DeLuco (hddeluco)2Microsoft Office Word@F#@x©@@R՜.+,0 hp  ֱ  University of Memphis Title  !"#$%&()*+,-.1Root Entry F31TableWordDocument4SummaryInformation(DocumentSummaryInformation8'CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q