CreditCourseAdd/DropForm
NewburghCampus
1WashingtonCenter,Newburgh,NY12550
MiddletownCampus
115SouthStreet,Middletown,NY10940
(845)341‐4140●registrar@sunyorange.edu
**For Student Services Central
Use Only**
____________ _________
Process Date Initials
Name of Student (Last, First, Middle Initial) Student ID#: A Date:
Address:
City: State: Zip:
Number of Credits Currently Registered in:
Is this a complete withdrawal from SUNY Orange this semester? Yes No
Semester/Year: Fall_____ Winter _____ Spring_____ Summer_____
Add Course
CRN Subject Course Section Credits Campus Faculty Signature
Drop Course
CRN Subject Course Section Credits Campus Faculty Signature
By signing this form you acknowledge, the above information is correct and you understand that a reduction in
semester’s credits may result in a reduction or loss of financial aid. SUNY Orange has a Refund Policy and any
changes may generate an adjustment to my account.
Signatures Required:
Student’s Signature Date
Advisor’s Signature Date
Additional Signatures Required for Late Add(s): Week 2: Faculty/Department Chairperson Signatures
Required. After Week 2: Faculty/Department Chairperson/Associate Vice President Signature Required
Department Chairperson
Signature Date
Associate Vice President Signature Date
