Office of Records and Registration
640 Bay Road, Warren Hall, Queensbury, NY 12804-1445
CALL: 518.743.2279 | FAX: 518.832.7601 | EMAIL: registrar@sunyacc.edu
Drop or Add Registration Form
This form should be used only after a student has registered for the semester. Students must either initially complete registration through
Self-Service Banner or a Matriculated Student or a Non-Matriculated Student Registration Forms.
Semester: ❑ Summer ❑ Fall ❑ Winter ❑ Spring Year: ___________ Date: ______________________
Student Name (Please print): _____________________________________________ Banner ID: _________________
Please mark all that apply: * ❑ I receive Financial Aid (PELL, TAP, Excelsior, Loans, etc.). ❑ I receive Military Benefits.
❑ I live in the Residence Hall. ❑ I am an EOP Student. ❑ I am an HPOG student. ❑ I am a student athlete.
❑ Other: __________________________________________________________________________________________________
*If you selected any of the above options and you are; dropping credits to below full-time (less than 12 credits), completely dropping your full schedule,
or changing your enrollment status, you are strongly encouraged to speak with a representative of the associated office prior to making the change to
your credits as it may have implications on your enrollment or financial standing with the College.
Course Drops or Additions Requested:
❑ I am dropping all of my registered credits. I will be enrolled in 0 credit hours for the semester noted above. ________(Initial)
Subject and Course Number
Bill Adjustment/Liability Schedule: Students who officially drop a course(s) may be eligible for a bill adjustment. The adjustment is
determined by the date the student processes a Drop/Add form at the Registrar's Office, according to the schedule noted below (some
exceptions may apply). For more information, go to
http://catalog.sunyacc.edu/financialaid/billrefund.
Courses more than 8 weeks in length (no record on transcript) Liability amount
Drop through the day before term begins 0% tuition/0% fees
Drop through the end of the 1st week of term, Day 1-5 25% tuition/100% fees
Courses 3 to 7 weeks in length (no record on transcript) Liability amount
Drop through the day before term begins 0% tuition/0% fees
Drop through the first day of term 75% tuition/100% fees
Courses less than 3 weeks in length (no record on transcript) Liability amount
Drop through the day before term begins 0% tuition/0% fees
Drop through the first day of term 75% tuition/100% fees
I understand by making the above requested schedule changes, there may be a change to my bill
(http://catalog.sunyacc.edu/financialaid/billrefund), Financial Aid, enrollment status, housing status, eligibility for military benefits and/or athletic
eligibility.
Student Signature: ________________________________________ Date: _________________________ ❑ Administrative Change
❑ Picture ID attached if sent electronically
Student Success/Registrar Staff Only:
Student Success/Wilton Staff Signature: __________________________________________________ Date: ___________________________
❑ Reason for Administrative Change: ________________________________________________________________________________________
❑ Student has been referred to the Financial Aid Office ❑ Student has been referred to: _____________________________________
Financial Aid or other Staff Signature for Referrals: _________________________________________ Date: ___________________
For Registrar’s Office Use ONLY: Initials: ___________ Date processed: __________ Form Updated: 07/16/19
