Teacher Education Deferral, Withdrawal, or Change in Program Pathway
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Email *
I would like to *
Student First Name *
Middle Name *
Student Last Name *
Previous Last Name (if applicable)
UT Student ID Number *
9-digit number (000123456)
UTK Email Address *
Student Current Phone Number (Enter phone number with area code.) *
865-123-4567
Choose your current clinical pathway (Student) *
Choose your current program area (Student) *
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