Add/Drop/Withdraw Form
A member of Minnesota State
Anoka Technical College is an affirmative action, equal opportunity employer and educator and a member of Minnesota State. Accredited by the Higher Learning Commission.
Disclaimer, Non-Discrimination Statement, Student Consumer Information such as graduation rates and median debt, can be found at www.anokatech.edu/AboutATC/Disclosures.aspx.
This document is available in alternative formats to individuals with disabilities by calling the Minnesota Relay Service at 7-1-1 or 1-800-627-3529.
P:\Registration\Forms\Current Forms\Add-Drop-Withdraw Form 9.19.docx
Return to Records Office
1355 West Highway 10
Anoka, MN 55303
Fax: 763-576-7721
Email: Registrar@anokatech.edu
Phone: 763-576-7740
www.anokatech.edu
Name: __________________________________________ Student/StarID: ___________________
LAST
FIRST MI
Address: ______________________________________________ Phone: _____________________
Program: _________________________________________________
I am withdrawing from all courses at Anoka Technical College Yes No
Term/Semester (circle one): Fall Spring Summer Year: __________
Student’s signature: _______________________________________ Date: _________________
Instructor’s signature: ______________________________________ Date: _________________
(Required when adding a course after the add/drop period)
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Records Office Use Only:
Processed by __________________________________ Date: ____________________
COURSE
(Ex. MATH 1400)
ID #
(000XXX)
COURSE TITLE
(Ex. Algebra & Trigonometry)
START DATE
MM/DD/YEAR
CREDITS
CIRCLE ONE
DROP
WD
DROP
WD
DROP
WD
DROP
WD
DROP
WD
DROP
WD
(Check one)
CHECK ONE
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