OFFICE OF THE UNIVERSITY REGISTRAR
Mailing Address: P.O. Box 1796 • Edmonton, Alberta, Canada T5J 2P2
Phone: 780-497-5000 • Fax: 780-497-5001
Website: www.MacEwan.ca • E-mail: info@macewan.ca
FREEDOM OF INFORMATION & PROTECTION OF PRIVACY
Protection of Privacy - The personal information requested on this form is collected and protected under the authority of Part 2 of the Alberta Freedom of Information and Protection of
Privacy Act and the Post-Secondary Learning Act. It will be used for the enrollment process and student management consistent with that purpose. This information will be entered into and
ADD/ DROP NOTICE FORM
IMPORTANT: This form is for completion and submission by currently registered students only.
MacEwan University recommends that all Program students discuss any course drops with their Program Advisor to ensure they are aware of the effect that
dropping a course may have on full-time status, student funding, program completion.
NOTE: Before completing form, please read instructions on second page.
PART 1 - PERSONAL INFORMATION
STUDENT ID NO.: FAMILY (LAST) NAME: FIRST NAME: MIDDLE NAME:
PROGRAM CURRENTLY ENROLLED IN (OR RELATED TO THIS REQUEST) USE A SEPARATE FORM FOR EACH TERM
TERM: FALL WINTER SPRING SUMMER
YEAR: ________ ________ ________ ________
NOTE: Before completing form, please read instructions on reverse.
PART 2 - CHANGE REQUEST
COURSE #
DROP
DROP
DROP
DROP
DROP
SECTION # COURSE TITLE COURSE #
ADD
ADD
ADD
ADD
ADD
SECTION#
PERMISSION # FOR
ADDS IF REQUIRED
COURSE TITLE
PART 3
CHECK ONE OF THE FOLLOWING BOXES
I AM CHOOSING TO ADD/ DROP THE ABOVE COURSE WITHOUT OBTAINING PROGRAM AREA SIGNATURE
I HAVE CONSULTED WITH MY PROGRAM AREA AND HAVE ATTAINED THE APPROPRIATE SIGNATURE BELOW
SIGNATURE - STUDENT DATE
PROGRAM COMMENTS:
__________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
PROGRAM CHAIR/ DESIGNATE NAME (PLEASE PRINT) DATE SIGNATURE - PROGRAM CHAIR/ DESIGNATE TELEPHONE
PLEASE FILL IN ALL INFORMATION IN FULL (PLEASE PRINT)
PART 4 - OFFICE OF THE UNIVERSITY REGISTRAR
___________________________________________________________________________________________ ___________________________________________________________________________________________
DATE PROCESSED BY REGISTRAR / DESIGNATE
SIGNATURE
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