Fall 2018 Drop Form
This form will not be accepted before the fourth week or after the twelfth week of classes.
Per campus policy (SP 13-10), withdrawal before the fourth week is handled by the student (using the myCI portal) without instructor
permission.
Beginning the fourth week of the term, dropping a class is permissible only for serious and compelling reasons, such as illness, accident,
death in the family, financial hardship, or military duty. Reasons that are not considered serious and compelling include course workload,
neglecting to drop the class during the first three weeks, failing an assignment, or change of major.
The withdrawal will be noted as a “W” on the transcript.
After week twelve, withdrawal is not permitted except in cases beyond the student's control such as accident or serious illness and will
typically involve total withdrawal from the University; students should use the term withdrawal form.
Student Instructions for Dropping a Class During Weeks 4 through 12 of the Semester:
1) Obtain instructor and program chair signature (e.g. Math chair for a Math class).
Obtaining these signatures does not guarantee
processing of drop request. All requests must comply with campus policy.
2) Enter the reason on the form and provide supporting documentation to verify the reason given.
Your drop will not be processed if you
fail to submit supporting documentation. All requests must comply with campus policy.
3) Sign and date the bottom of the form.
4) Submit completed form and documentation to the Enrollment Center, first floor, Sage Hall. The last day to drop a class is the end of
business on Friday, November 16, 2018. NOTE: Forms placed in the drop box after business hours on 11/16 will not be processed.
**Be sure to check Enrollment Center hours before arriving at Sage Hall**
First Name __________________________ Last Name _______________________ Student ID _____________________
Phone _____________________________ Email_______________________________________________________________
Number of enrolled units before change _________ Number of enrolled units after change _________
Please give reason for drop (weeks 4-12). Attach supporting documentation.
Student Signature __________________________________________________ Date _____________________
Office Use Only- Records & Registration
Processed by (Staff Initials): ___________ PS Update (Date): __________ In Housing? Y / N Student Notified (Initials & Date): __________
Class
Number
Subject
Course
Number
Section
Number
Units
Instructor Signature
Date
Program Chair
Signature
Date
1234
MATH 100 02 3 Example
Example
Enrollment Management
Records and Registration
One University Drive
Camarillo, CA 93012
Phone: (805) 437-8500
Enrollment Adjustments are Not Official until Processed in the Enrollment Center
Calendar Period
Drop Class
Complete Withdrawal
Add Class
Change of
Grading Basis
Late Registration
Weeks 1-3
Drop Class(es) via the Web:
myCI
Drop all classes via the Web:
myCI
Consult Financial Aid
if receiving
funds
Add using instructor
generated permission
numbers.
Tuition Fees due
immediately
Change via the Web: myCI
(i
nstructor approval not
required)
Register using instructor
generated
permission
numbers.
$25.00 Late Registration Fee
in addition to other
registration
fees.
Tuition Fees due
immediately
Week 4
Students
dropping a class
will receive a W
Allowed for serious and
compelling reasons only.
File
a Drop form (instructor
and program chair approval
required
).
Reason must be entered on
form;
documentation is
required.
Allowed for serious and
compelling reasons only.
File a
Term Withdrawal
form (instructor and
program chair approval
required
).
Reason must be entered on
form; documentation is
required.
Add using the Add form
(instructor
approval
required
).
Tuition Fees due
immediately
NOT PERMITTED
File an Add form (instructor
approval
required).
$25.00 Late Registration Fee
in addition to other
registration
fees.
Tuition Fees due
immediately
Weeks 5-12
Students
dropping a class
will receive a W
Allowed for serious and
compelling reasons only.
File
a Drop form (instructor
and program chair approval
required
).
Reason must be entered on
form;
documentation is
required
.
Allowed for serious and
compelling reasons only.
File a Term Withdrawal
form (instructor and
program chair approval
required
).
Reason must be ente
red on
form; documentation is
required
. Dean will review
for approval.
NOT PERMITTED
NOT PERMITTED
NOT PERMITTED
Weeks 13-16
Students
withdrawing
will receive W
grades
NOT PERMITTED
Allowed for serious and
compelling reasons only.
F
ile a Term Withdrawal
form (instructor and
program chair approval
required
).
Reason must be entered o
n
form; documentation is
required
. Dean will review
for approval.
NOT PERMITTED
NOT PERMITTED
NOT PERMITTED
Please make every effort to complete all your changes during the first three weeks of the semester.
Student eligibility for financial aid is based on enrollment. Financial aid recipients should consult a financial aid representative for additional information.
Criteria for Late Add/Drop or Changes in Basis of Grading
Students should note that a deficient academic performance is not a sufficient reason for dropping a class or changing the basis of grading after the third week.
Students must present proof of a serious and compelling reason for withdrawal.
Medical Withdrawal
A medical withdrawal constitutes complete withdrawal from the University for the academic period in question. Beginning with the fourth week of the
semester, students who find it necessary to withdraw from the University for medical reasons are required to present documentation.
Financial aid recipients should consult a financial aid representative regarding the implications of a complete withdrawal.
California State University Channel Islands, One University Drive, Camarillo, CA 93012 /805-437-8500/ www.csuci.edu
Revised 08/20/2018