Fillable CHANGE OF PROGRAM (ADD/DROP/WITHDRAW OFFICE OF ADMISSIONS AND (California State University, Dominguez Hills)

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CHANGE OF PROGRAM (ADD/DROP/WITHDRAW OFFICE OF ADMISSIONS AND (California State University, Dominguez Hills)

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CHANGE OF PROGRAM
(ADD/DROP/WITHDRAW
)
OFFICE OF ADMISSIONS AND RECORDS (WH 290)
FOR OFFICE USE ONLY
PLACE DATE STAMP HERE
STUDENT ID: SIGNATURE:
LAST NAME: FIRST NAME:
PHONE NUMBER: TERM:
LIST ALL CLASSES YOU WISH TO ADD BELOW:
CRN DEPT. COURSE
NO.
SECTION UNITS INSTRUCTOR
SIGNATURE
DEPT. CHAIR’S
SIGNATURE
DEAN’S
SIGNATURE
DATE
LIST ALL CLASSES YOU WISH TO DROP/WITHDRAW FROM BELOW:
CRN DEPT. COURSE
NO.
SECTION UNITS INSTRUCTOR
SIGNATURE
DEPT. CHAIR’S
SIGNATURE
DEAN’S
SIGNATURE
DATE
EXCEEDING MAXIMUM UNIT LOAD:
COMPLETE THIS SECTION IF YOU WOULD LIKE TO REGISTER FOR MORE
THAN 18 UNITS. THESE REQUESTS ARE ACCEPTED BEGINNING THE FIRST DAY OF INSTRUCTION
.
DATE:
DATE:
TOTAL # OF UNITS APPROVED:
ADVISOR’S SIGNATURE:
DEAN’S SIGNATURE:
(Required if exceeding 21 units)
Revised: March
23, 2020
Please email the completed form with required signatures to admit@csudh.edu by the appropriate deadline
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CHANGE OF PROGRAM (ADDDROPWITHDRAW OFFICE OF ADMISSIONS AND (California State University, Dominguez Hills)

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Completed 18 August 2020

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