Fillable Drop Add Form (Caldwell Community College and Technical Institute)

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Drop Add Form (Caldwell Community College and Technical Institute)

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CCC-131 White-Student Services Yellow – Student Services Pink – Student Copy Rev 10/11
Drop/Add Form
Caldwell Community College
& Technical Institute
2855 Hickory Blvd. Hudson, NC 28638
Please press firmly. This form must be filled out completely (including all signatures).
Refunds will be issued in accordance with the North Carolina Administrative Code.
___________________________________________________________________ ____________________________
Legal Name: (Last) (First) (Middle) Student ID No.
_____________________________________________________________ ____________________ ______________ ____________________
Mailing Address City State Zip Code
Reason for change:
Reason for absences:
Changed my mind
Course too difficult
Child Care Problems
Employment
Changed Program
Dissatisfied-instruction
Illness
Death in the family
Course not what expected
Prerequisite not met
Transportation
Relocation
Course load too heavy
No Financial Aid
Military Deployment
Personal
Textbook cost
Misadvised
Transfer to another school
Money
___________________________________________
Course No.
Credit Hrs.
Instructor’s Signature (after semester begins) Last Date Attended
Credit Hrs. Dropped
Course No.
Credit Hrs.
Vice President’s Signature (after semester begins)
Credit Hrs. Added
Total Credit Hrs. Before Change
_______________________________________________
Total Credit Hrs. After Change
Refund Owed Student:_______________________
DROP
ADD
Office Use Only
Keyed by:_______ Received Date:_________ Initials:_______
Semester: 20_____
Fall
Spring
Summer
Date
Advisor Signature
Student Signature
Date
* Excessive withdrawals have the potential to impact a student’s financial aid and/or health insurance.
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Drop Add Form (Caldwell Community College and Technical Institute)

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Completed 26 July 2020

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