Drop/Add Form
Information must be printed or typed in black or blue ink. (Penciled forms will not be accepted.)
Updated November 2014 SSC
Student Name: __________________________________________________ ECC ID: __________________________________
The following changes in enrollment are requested for Semester: □Fall □Spring □Summer Academic year: _________________
Synonym #
Dept.
Course #
Section
Course Title Days/Time
Credits
Signature of Instructor (may be required for enrollment) Date
Audit?
A
D
D
Yes
No
Yes
No
Yes
No
Yes
No
Synonym #
Dept.
Course #
Section
Course Title Days/Time
Credits
Signature of Instructor (required weeks 5 - 16)
Date
D
R
O
P
Number of credit hours for the indicated semester following this action:
Student Responsibility:
This document must be submitted for action to be processed. Student understands changes in enrollment may affect one or more of the following:
Scholarship, federal grant status, or availability of other financial aid
Corequisite or prerequisite status for other courses
Program length
Private health insurance
Other enrollment-based status either contracted with East Central College or a third party.
Tuition and fee refund when dropping 16 week Fall/Spring courses:
Week 1 = 100% ● Week 2 = 75% ● Week 3 = 50% ● Week 4 and following = no refund.
NOTE: Courses less than 16 weeks in duration are refunded at a prorated basis.
_______________________________________________________________________________ _________________________________________________________________________
Student signature Date Advisor signature Date
Student understands failure to submit this form in a timely manner may result in an
administrative withdrawal or failing grade.
Advisor signature indicates only that student has been made aware of effects this petition
may have on his/her ECC academic program.
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