ADD / DROP CLASS FORM
University of North Texas Health Science Center
Office of the Registrar, SSC 240
3500 Camp Bowie Blvd.
Fort Worth, TX 76107-2699
(817) 735-2201 / Fax (817) 735-0448
Questions regarding data collected may be directed to the Registrar. (HB 1922)
Student ID OR Social Security Number
Last Name First Name Middle Name
ADD CLASS: List all courses you wish to add.
See Academic Calendar for registration periods and the last day to add classes.
(EXAMPLE) Community Assessment
DROP CLASS: List all courses you wish to drop.
Approval for drop required after last day to receive automatic W. See Academic Calendar for details.
(Instructor Only: Check one)
WF (Withdrawal Failing)
WF (Withdrawal Failing )
IF DROPPING A CLASS, RETURN THIS FORM TO THE OFFICE OF THE REGISTRAR & PLEASE READ BELOW:
It is your responsibility to consult your advisor before dropping any class.
A class dropped before the census date will not appear on the transcript. A class dropped after the census date will appear
on the transcript & be assigned a grade of W or WF.
If the last class of a session (8 week 1, regular, 8 week 2) is dropped, it is subject to the complete withdrawal
If a class is dropped but the student is enrolled in another class during that same session, the student will receive
100% refund if the class is dropped before the census date.
You cannot drop your only remaining class using this form during a long semester (fall or spring).
If all classes are dropped during a long semester, it is considered complete withdrawal or leave of absence. You
must pick up the withdrawal/leave of absence form in person at the Office of the Registrar. SPH online certificate
students are exempt from requesting a leave of absence.
Student Signature Date
Please allow 24 hours for processing
For Office Use Only
Revised 03/13/2017 Date request completed
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