OFFICE OF THE REGISTRAR
MSC 105, 1050 W SANTA GERTRUDIS AVE
KINGSVILLE, TEXAS 78363-8202
PH (361) 593-2811 * FAX (361) 593-2195
www.tamuk.edu
DegreeWorks
Delete Request Form
PLEASE PRINT Banner ID _______________
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Last Name First Name Middle Name
Department______________________________________ Phone__________________
_______________________________________________ UserID_________________
Applicant Signature Date
Please SELECT the appropriate categories (one in each box):
Staff
Faculty
an
d
Full-time Employee
Half-time Employee
Part-time Employee
Temporary
Student Worker
Rea
son for Delete: ______________________________________________________
_____________________________________________________________________
SIGNATURES
____________________________________________________________________
Per
son Requesting Deletion Date
____________________________________________________________________
Departm
ent Contact Department Name Date
For Registrar’
s Use Only:
Date Deleted:______________ Initials:___________