State of Connecticut Board of Governors for Higher Education
Board of Trustees of Community-Technical Colleges
Tunxis Community College • Farmington, CT 06032
Student ID # Required
CRN COURSE CODE COURSE TITLE CHANGE (check one)
Student’s Legal Name: (Last) (First) (Middle)
Address: No. and Street City or Town State Zip Code
Is this a recent
address change?
YES
NO
TERM: FALL SPRING SUMMER YEAR
STUDENT’S
SIGNATURE DATE
Date of Birth (month/day/year):
ChangeSched
Form 3/11
CHANGE IN SCHEDULE FORM
(
ADD/DROP
)
DROP ADD
Please print. Complete entire form. PRESS HARD–you are making 3 copies. See reverse for more information.
Reason for change(s):
Credits this term
BEFORE change:
DROP ADD
DROP ADD
DROP ADD
DROP ADD
CHANGES APPROVED BY: DATE
RECORDS
USE ONLY
DATE:
ENTERED BY:
Credits this term
AFTER change:
(
If zero, enter zero
)
DROP ADD
RECORDS OFFICE
@
Social Security #
Daytime
Phone #
Required if ID # not provided
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