The University of Memphis
Request for Special Topics

For information concerning and/or completing this form, go to the Special Topics Directions page. Address questions or comments about this form to: Dr. Catherine Serex for undergraduate or Dr. Karen Weddle-West for graduate requests.

I. DEPARTMENT

II. TERM/YEAR

III. COURSE INFORMATION
Subject Area Course Number Credit Hours
Instructional Method 
Schedule Type
Full Course Title 
Instructor's Name 
Note any special grading: 
Abbreviated Schedule (If course is offered for a time period other than the regular semester calendar, enter the beginning and ending dates) Start Date
End Date 

IV. APPROVALS

______________________________________ 
Department		 ______________ 
Date
______________________________________ 
College		 ______________ 
Date
______________________________________ 
Dr. Karen Weddle-West		 ______________ 
Date
______________________________________ 
Dr. Catherine Serex 		______________ 
Date

V. Please submit your name and e-mail address as a contact source for this form.
Name  E-Mail