New Jersey’s Public Liberal Arts College Revised 11/30/18
Please complete this form and submit to:
Office of the Registrar
505 Ramapo Valley Road, Mahwah, NJ 07430
Phone 201-684-7695 Fax: 201-684-7956
Fall 20____ Spring 20____ Summer 20____
Student Name (Print):_________________________________________________
Ramapo E-mail Address(Print):_________________________________________
Ramapo ID Number R___________________________________________
Subj./CRSE/ Sec. #
Course Title
Credits originally registered for: ____________________________
Credits Dropping: ____________________________
Credits Remaining: ____________________________
Requests must be filed with the Office of the Registrar no later than the 50% drop date
listed on the Academic Calendar.
This is a release form in order for the Office of the Registrar to DROP you from classes
during the 50% Refund period.
It is the student’s responsibility to inquire if the dropping of this course(s) will impact
their financial aid, scholarship, or student status.
Please note different refund dates apply to half-semester and courses.
______________________________________________ _____________________________
Student Signature Date
Office Use Only
Received By: Date: Entered By:________________ Date:
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