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: DEPARTMENT OF PHILOSOPHY
REQUEST FOR PERMIT
Date of Request: _________________
Student Name: __________________________________ UUID: _______________________
E-mail: ___________________________ @memphis.edu BA _____ MA _____ Ph.D _____
Course Title: ___________________________________________________________
Course Number: PHIL: ___________ Section: _______ Credit Hours: ______
CRN: __________________
Days: ____________ Start Time: __________ End Time: __________
Instructor: __________________________________________________________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Approved by Instructor: ___________________________________ Date: ___________
If not signed, Instructor approval given to office staff: verbal e-mail (circle one)
Approved by Advisor: ______________________________________Date: ___________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Return via email: HYPERLINK "mailto:philosophy@memphis.edu" philosophy@memphis.edu or bring to Clement Hall 337
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Philosophy Department Office Staff Use Only
Permit Entered By: _________________________________________ Date: _____________
Student Contacted that Permit is Issued: _______ verbal e-mail (circle one)
Comments: __________________________________________________________________
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