College of Education and Health Professions
Graduate Registration Clearance Request Form
Please complete all fields to avoid a delay in processing.

First Name

Last Name

10-Digit Student ID

UT Arlington E-mail

Clearance Request

Type in the course number and section for each course. For example: EDUC 5310.002

Course 1
Course 2
Course 3
Course 4

Check this box if you have an 'Academic Department' hold which needs to be removed
If you have any questions or comments, please enter them in the box below:
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