Class Drop/Transfer
Request Form
Student signature (REQUIRED for processing) Date
( ) –
( ) –
Home Phone
PeopleSoft Lumens
( ) –
Work Phone
Cell Phone
Course # 4-digit # Class Title Start Time Start Date Tuition Fees Total
Course # 4-digit # Class Title Start Time Start Date Tuition Fees Total
Class Drop
Refund Policy: To receive a full refund, excluding registration fee, for a dropped class please submit this form at least one business day prior to the class start date. Exceptions to the refund policy must
be requested in writing to the Vice President of Continuing Education and Workforce Development. Please see FCC Tuition and Tuition Refund Procedure, frederick.edu, for additional information.
Class Transfer
To transfer class(es), request to drop the class(es) above and register for the class(es) below. Any increase in cost due to transfer is payable at time of transfer.
Frederick Community College prohibits discrimination against any person on the basis of age, ancestry, citizenship status, color, creed, ethnicity, gender identity and expression, genetic information, marital status, mental or physical disability,
national origin, race, religious affiliation, sex, sexual orientation, or veteran status in its activities, admissions, educational programs, and employment.
Frederick Community College makes every effort to accommodate individuals with disabilities for College-sponsored events and programs. If you have accommodation needs, please call 301-846-2408. To request a sign language interpreter,
please call 240-629-7819 or 301-846-2408 (Voice) or email Interpreting@frederick.edu. Sign language interpreters will not be automatically provided for College-sponsored events without a request for services. To guarantee accommodations,
requests must be made at least five workdays in advance of a scheduled event.
If your request pertains to accessible transportation for a College-sponsored trip, please submit your request at least two weeks in advance. Requests made less than two weeks in advance may not be able to be provided.
Continuing Education & Workforce Development • 301.624.2888
frederick.edu/QuickEnroll
Questions?
Call 301.624.2888
IN PERSON
Frederick Community College
Conference Center (E-113)
FAX
301.624.2749
EMAIL
CERequest@frederick.edu
Date Received: Date Processed: Processed By:
MAIL Frederick Community College, CEWD Registration
7932 Opossumtown Pike, Frederick, MD 21702
Student ID Numbers
PERSONAL INFORMATION (please print clearly)
Student Name:
Home Address:
Email Address:
Date of Birth:
Social Security Number
Last First MI
Street Address Apt. #
City State Zip Code
Reason:
PM Comment:
Vice President for Continuing Education & Workforce Development Date
Disposition: o Approved o Denied Comment:
PM Signature/Date:
FOR OFFICE USE ONLY FOR CLASS DROP REQUEST LESS THAN ONE (1) BUSINESS DAY PRIOR TO CLASS START DATE.
Refund Percent/Amount:
