Alamance Community College
Drop/Add Form
Student Signature: ____________________________________________________________ Date: ________________
(For student initiated drops, it is the student’s responsibility to obtain appropriate signatures and submit completed form to the Student Success Office.)
Instructor Signature: __________________________________________________________ Date: ________________
Academic Dean Signature (after 80% date): __________________________________________________ Date: __________________
Student ID Number:
Name Last First M.I. Circle if Applicable
Jr. Sr. III
Term:
Date:
20 ____ Fall Spring Summer
IF YOU RECEIVE FINANCIAL AID OR VETERAN'S BENEFITS, PLEASE READ AND SIGN BELOW
Changes to your course schedule may impact the amount of aid received and eligibility for aid/benefits both this semester and in
future semesters. Financial Aid and Veterans benefits recipients should discuss the consequences of changing your course schedule
with the Financial Aid or Veterans Office before doing so. Student Signature: ____________________________________________
Why are you withdrawing from your course(s)?
Remarks:
Reasons:
Excessive Absences
Employment
Death in Family
Illness (Personal/Family)
Military Deployment
Childcare Concerns
Other
Course Withdrawal
To Be Completed By The Student:
To Be Completed By The Instructor:
Course Information
Prefix
(Ex. ENG)
Number
(Ex. 111)
Section
(Ex. 01W)
Title
Credit
Hours
Instructor’s
Last Name
Census
Date
Grade*
NA or WP
Last Date
Attended
Instructor Signature
Instructor Comments:
* ”NA” if never attended and dropped after census date * “WP” if dropped after census date but has last date of attendance
Course Addition
To Be Completed By The Student:
To Be Completed By The Instructor:
Course Information
Prefix
(Ex. ENG)
Number
(Ex. 111)
Section
(Ex. 01W)
Title
Credit
Hours
Instructor’s
Last Name
Census
Date
Date
Entered
Course
Instructor Signature
Course File Adjusted By: _______________________________________________________________________ Date: ____________________
ACC-23
4/2018