The University of Memphis
CHANGE OF STATUS FORM
Please complete all information, print form and mail to address below. Facsimilies are acceptable.

This form should be completed ONLY if you are a currently enrolled degree-seeking graduate student.

* Note: All Fields are Required.

* Full Legal Name: 
* SSN or Banner ID: 
* Date of Birth: 
* Current Address: 
* City, State, Zip: 
* Telephone Number: 

* Preferred Term of Admission: 

DEGREE SEEKING APPLICANTS

* Please indicate the appropriate degree program for which you are applying:  

* Department Name: 
* Major: 
* Area of Concentration: 

* Test Data: Please indicate which of the following admission test you have taken or plan to take:

GRE General:  Date: 
GRE Subject: Date: 
GMAT:           Date: 
MAT:              Date: 

* Currently enrolled in the following major: 

* Degree: 

* Will you be completing this degree program?  Yes No  If yes, when?  

NON-DEGREE SEEKING APPLICANTS

* You will be taking courses for: 

 

Return Application to:

Office of Graduate Admissions
101 Wilder Tower
The University of Memphis
Memphis, TN 38152
Phone: (901) 678-2111
Fax: (901) 678-5023

 Application Deadline:
  • Fall Semester - July 1
  • Spring Semester - December 1
  • Summer Semester - May 1