SIMMONS UNIVERSITY
Office of the Registrar
300 The Fenway, Boston, MA 02115
Tel 617.521.2111 Fax 617.521.3144
ADD/DROP FORM
Date: ______________________ Undergraduate Student
Term and Year: Fall _____ Spring _____ Summer _____ Graduate Student
Student Name: ________________________________________________________________________
Simmons ID #:______________________________________________________
Courses to be Added
Department
Course #
Section/Div.
Credit Hours
Instructor's Consent*
Independent Learning/Internship to be Added
Course
Instructor Name
Instructor Consent
Department
Course Name
#
(Printed)
(Signature)
Courses to be Dropped
Department
Course #
Section/Div.
Credit Hours
Instructor's Consent*
I am fully aware of the policies and procedures regarding these course changes.
Student's Signature: _______________________________________________ Date: ________________
Adviser's Signature*: ______________________________________________ Date: ________________
* If required
Credit Hours
Credit Hours
Credit Hours
Credit Hours
FOR OFFICE
Before Change
Added
Dropped
After Change
Processed by______________
USE ONLY
Date ____________________
click to sign
signature
click to edit
click to sign
signature
click to edit
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