Fillable Course Drop Withdraw Form (Cowley County Community College)

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Course Drop Withdraw Form (Cowley County Community College)

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COWLEY COUNTY COMMUNITY COLLEGE
Course Drop/Withdrawal Form
BEFORE YOU WITHDRAW FROM YOUR CLASSES – STOP…THINK!
Have you talked to your INSTRUCTORS about withdrawing from these
classes? Perhaps things are not as bad as they seem.
If you receive FINANCIAL AID, a drop or withdraw can affect your eligibility
and /or aid amount.
Are the courses you want to withdraw from going to be offered again when you
need them? This can greatly affect your ability to graduate on time.
Have you tried tutoring? Cowley offers FREE tutoring.
Withdrawing from courses does not remove you responsibility to pay for your
courses.
Are outside activities affecting your academic success? Reducing time spent on
other activities can help improve your academic performance.
Course Drop – A course drop removes a course from a student’s schedule. If a
student request to drop a course before the refund date, this is done without
charges to the student.
Course Withdraw – A course withdraw is a final grade of W on a student’s
transcript. W grades are not calculated into the college GPA or into completed
credits. Students are responsible for course charges.
Personal Student Information
(All information is required)
Name: ________________________________ Student ID: ___________________________
Address: ______________________________ City, State, Zip: _______________________
E-Mail: _______________________________ Phone Number: _______________________
Course Information
_____________ ___________________________ _______ _________________
Course ID Course Name CR HRS Instructor
_____________ ___________________________ _______ _________________
Course ID Course Name CR HRS Instructor
Drop This Course
____ It is before the refund date and I would like an advisor to drop this course from my
schedule. (Courses can be dropped before the refund date through Campus Connect)
Withdraw From This Course
____ I would like to withdraw from this course. It is after the refund date and before the last
date to withdraw from my course. I understand that I will receive a W for this course and I
am responsible for the charges of this course. Before my withdrawal is final I must
schedule a meeting or contact by phone 620-441-5303 a member of the enrollment
management staff.
(Continued)
Revised 07/6/2017
COWLEY COUNTY COMMUNITY COLLEGE
Course Drop/Withdrawal Form
Revised 07/6/2017
Withdraw Information
Please indicate your overall level of satisfaction with your experience at Cowley:
Which of the following best describes your reason for withdrawing? (Choose one)
Comments:
Release of Information
I understand that any outstanding obligation to Cowley County Community College
may result in my transcripts and/or other academic records being held until the
obligation has been met. I also understand that withdrawal from my courses may
impact my eligibility for financial aid in future semesters. Before my withdrawal is
final I must schedule a meeting or contact by phone 620-441-5303 a member of the
enrollment management staff.
______________
_________________________________
Student Signature
____________________
Student ID
Date
The completed form should be returned to one of our admissions locations or
emailed to admissions@cowley.edu. For our locations and office hours, please go to
our website at www.cowley.edu or call 1.800.593.2222
FOR OFFICE USE ONLY
Received by _________________________ Date ___________________
Counseled by ________________________ Date ___________________
Processed by ________________________ Date ___________________
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Course Drop Withdraw Form (Cowley County Community College)

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Completed 27 July 2020

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