Revised: August 22, 2018
DROP, ADD, & WITHDRAWAL FORM
SOUTH ARKANSAS COMMUNITY COLLEGE
Student Services Fax Number 870-864-7137
—PLEASE PRINT CLEARLY AND FIRMLY IN INK—
RETURN COMPLETED FORM WITH ALL COPIES TO THE REGISTRAR’S OFFICE
NAME: ______________________________________________ STUDENT ID NO: ________________________________
TERM: FALL 20________ SPRING 20________ SUMMER 20________ FIRST________ SECOND________ LONG______
Student’s Signature _______________________________________________ Date ________________________________
white copy Registrar yellow copy Student
Reason for Withdrawal
Personal (state reason) _______________________________________________________________________________
Academic (state reason) ______________________________________________________________________________
_____ Transportation _____ Log in/internet issues _____ Changes in work schedule _____ Death of a family member
_____ Serious illness – self or family member (circle one) _____ Moving from area _____ Active Duty (Self/Family)
Hours enrolled before change________________________ Hours enrolled after change ___________________________
Advisor’s Signature ____________________________ Financial Aid’s Signature ___________________________
