Fillable Enrollment Information Admissions & Records Add / Drop (College of the Siskiyous)

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Enrollment Information Admissions & Records Add / Drop (College of the Siskiyous)

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Admissions & Records
College of the Siskiyous, 800 College Ave., Weed, CA 96094
Phone: (530) 938-5500 - Fax: (530) 938-5367 – Email: registration@siskiyous.edu
Add / Drop Form
Semester: Fall Winter Spring Summer Year:
Last Name: First Name: MI:
Date of Birth: Student ID#: S00 or SSN:
Enrollment Information
I verify that I am responsible for the course choices listed below and that I have read the prerequisites and advisories for
these courses in the college catalog. The information I have provided is true and correct.
Student Signature: Date:
* If you complete this form and send it through your COS email account, it will count as your signature.
CRN
Add Course No.
Units
Authorization Code
CRN
Drop Course No.
Complete Withdraw
I verify that I am completely withdrawing from all my courses for the above term at College of the Siskiyous.
I am withdrawing due to: Financial Military Medical Personal Other
Explain (Optional):
I plan to re-enroll at COS in the next semester I do not plan to ever attend COS again at this time.
Office Use Only
Entered by: Date:
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Enrollment Information Admissions & Records Add Drop (College of the Siskiyous)

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Completed 25 July 2020

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