OFFICE OF THE REGISTRAR
MSC 105, 1050 W. SANTA GERTRUDIS AVE
KINGSVILLE, TEXAS 78363-8202
PH (361) 593-2811 ** FAX (361) 593-2379
DUAL ENROLLMENT ADD/DROP REQUEST FORM
NOTE: If you are dropping all registered courses, you will be withdrawing from the university. If you are dropping a
course but will still be registered in a university course, you will continue to be enrolled in the University.
Please Indicate Semester: _____ Fall 20____ _____ Spring 20_____ _____ Summer 20_____
Student Name (Print last, first, middle) K ID number
________________________________ __________________________________________ ___________________________________
High School Attending Permanent Home Address Telephone #
Instructor(s) Signature is required if adding a class after the 5
class day. See appropriate Academic Calendar for dates.
* By signing this form, the instructor is authorizing the Registrar’s Office to override any pre-requisites, or co-requisites, for
the course being added.
I understand that if I am dropping a course(s) or withdrawing from Texas A&M University-Kingsville, I may be
responsible for repayment of all or a percentage of my tuition/fees or other charges. Changes will become effective
upon receipt of this form by the Office of the Registrar at A&M-Kingsville.
Student Signature Date
_________________________________ ___________________________________ __________
High School Official Name (Printed) High School Official Signature Date
Student must complete and return the form to their High School Official who will be responsible for submitting
it to the Dual Enrollment Advisor at Texas A&M University – Kingsville for processing.
**Please fax completed form to (361) 593-2379 Attention: Dual Enrollment Advisor.
For Registrar Office Use Only:
Processed By______________________________________________ Date____________________