Submit form to Business & Finance Support Services, 151 Administration Building.
The
University Of Memphis Operating Procedure No. UM1303 provides additional
information for completing this form.
I. CHANGE IN ORGANIZATIONAL STRUCTURE
Organization Number
Unit Name:
Level of Organizational Assignment (Available from Program Guide)
Title of the Organization
Organization Numbers
Provost/Vice President:
Vice Provost:
Dean/Director:
Chair/Department Head:
Principal Investigator:
Username:
Banner UID:
Position Number:
Effective Date of Change:
If this change relates to a new institute, center, or bureau, has TBR been notified
YesNo. If "Yes," then attach approval/notification to this request. If "No," then refer to TBR Guideline A-040 before submitting this form.
II. CHANGE IN NAME/TITLE OF ORGANIZATIONAL UNIT
Title of the Organization
Organization Numbers
Old Unit Name:
New Unit Name:
Effective Date of Change:
III. SUBMITTER INFORMATION
Name
of Submitter:
Title of Submitter:
Name
of Approver:
Title of Approver:
Contact Person:
Contact Person's Phone:
Signature of
Submitter __________________________________ Date___________
Signature of
Approver ___________________________________ Date___________
The University of Memphis, one of the Tennessee Board of Regents institutions, is an Equal Opportunity/Affirmative Action University.
