A
DD
/D
ROP
F
ORM
Office of the Registrar ● 1310 Club Drive ● Vallejo, CA 94592 ● phone: 707‐638‐5984 ● fax: 707‐638‐5267 ● email: tucaregistrar@tu.edu ● website: http://tu.edu
Student Information
Academic Program:
DO MSMHS‐COM Pharmacy MSMHS‐COP Education Joint MSPAS/MPH Public Health Nursing
Name Class of Student ID#
(required)
Phone Numb
er
Email Address
Add/Drop forms are to be completed for a single semester only. You will need to submit additional forms
to change courses in multiple semesters. Students should submit their add/drop form directly to their
program for approval.
Courses to Add
SEMESTER (PLEASE SELECT ONE): SUMMER FALL SPRING YEAR
CRN (5 Digit Number) Course Subject & Number Course Name Units
1
2
3
4
Courses to Drop
Total Units Added
CRN (5 Digit Number) Course Subject & Number Course Name Units Date of Last Attendance
1
2
3
4
Total Units Dropped
Prior to submitting this form for processing, it is strongly recommended that students consult with the Bursar and
Financial Aid Director. Students may be liable for changes to tuition charges and/or issued refunds. By signing this form, I
acknowledge this.
Student Signat
ure
Date
Program Approval
Signa
ture
Date
Print
Name
Title
For Office Use Only:
Date Received: Processed in Banner By: Processed On:
Office of the Registrar – Add/Drop Form 3/21/19 MD
click to sign
signature
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