ABOUT YOU
Student Name
LAST FIRST M FORMER
Student ID
Semester: Fall Winter Spring Summer
Advisor’s Signature
Student’s Signature Date
This form should be used to make changes in your schedule of classes for a given semester. It is not a registration form or a college withdrawal form.
Drop/Add Form
(Please type or print)
Berkshire Community College ▪ 1350 West Street, Pittseld, MA 01201 ▪ www.berkshirecc.edu ▪ 413-236-1620 ▪ academic_advising@berkshirecc.edu
Department Course Number Section Credits Audit Instructor’s Signature
Department Course Number Section Credits Audit Instructor’s Signature
DROP
ADD
Berkshire Community College is an afrmative action/equal opportunity institution and does not discriminate on basis of race, creed, religion, color, gender, gender identity, sexual orientation, age,
disability, genetic information, maternity leave, military service, and national origin in its education programs or employment pursuant to Massachusetts General Laws: Chapter 151B and 151C; Title
VI, Civil Rights Act of 1964; Title IX; Education Amendments of 1972; Section 504; Rehabilitation Act of 1973; Americans with Disabilities Act; and regulations promulgated thereunder, 34 C.F.R.
Part 100 (Title VI), Part 106 (Title IX) and Part 104 (Section 504). All inquiries concerning application of the above should be directed to Deborah Cote, Vice President of Human Resources and
Afrmative Action Ofcer; and Coordinator of Title IX and Section 504, at (413) 236-1022, SBA Annex, Room A-20.
Accommodations for students with disabilities - It is a college policy to provide, on a exible and individualized basis, accommodations reasonable to students who have disabilities that may affect their
ability to participate in course activities or to meet course requirements. Students with disabilities are encouraged to discuss their individual needs for accommodations with Pamela Farron (Ext. 1608)
in the Disability Resource Center located in the Student Development Center (next to the College Store) in the Susan B. Anthony Center.
White Copy: Registrar; Yellow Copy: Student
FOR OFFICIAL USE ONLY
ACCEPTANCE
DATE & INITIALS
Revised 4/10/2020
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