320
CorporateDrive
Portsmouth,NH03801
Phone:(603)4277610
FAX:(603)3346308
AskGreatBay@CCSNH.edu
Spring___Summer___Fall___
ADD/DROPFORM
FinancialObligaonStatement‐IagreethatbyregisteringforcourseswithintheCommunityCollegeSystemofNewHampshire(CCSNH),IamnanciallyobligatedforALLcosts
relatedtotheregisteredcourse(s).Uponadroporwithdrawal,IagreethatIwillberesponsibleforallchargesasnotedinthestudentcatalogandhandbook.Ifurtherunderstand
thatifIdonotmakepaymentinfull,myaccountmaybereportedtothecreditbureauand/orturnedovertoanoutsidecolleconagency.Ialsoagreetopayforthefeesofany
colleconagency,whichmaybebasedonapercentageofthedebtuptoamaximumof35%,andalladdionalcostsandexpenses,includinganyprotestedcheckfees,courtling
costsandreasonableaorney’sfees,whichwilladdsignicantcoststomyaccountbalance.
TUITIONREFUNDPOLICYCreditandNonCreditCourses
Allrefundsrequirethatthestudentcompleteanocialwithdrawalform.Studentswhoociallywithdrawfromthecollegeorani
ndividualcoursebytheendofthefourteenth
(14th)calendardayofthesemesterwillreceivea100%refundoftuion,lessnonrefundablefees.Studentsinclassesthatmeetinaformatshorterthanthetradionalsemester(15
16weeks)willhaveseven(7)calendardaysfromthedesignatedstartofthatsemester,notclass,towithdrawforafullrefund.Iftheseventh(7th)orfourteenth(14th)calendar
dayfallsonaweekendorholiday,thedroprefunddatewillbetherstbusinessdayfollowingtheweekendorholiday.Excepon:studentsincoursesthatmeetfortwoweeksor
fewermustdropbytheendoftherstdayoftheclassinordertogeta100%refund.Studentsregisteredfornoncreditworkshops/professionaltrainingmustwithdrawinwring
atleastthreebusinessdayspriortotherstsessiontorec
eiveafullrefundoftuionandfees.Refundstakeapproximatelyfourtosixweekstobeprocessed.Ifthecollegecancelsa
class,tuionandAcademicInstruconfeeswillberefunded.
NAME: StudentID#
A
DROPACOURSE:SubmitformtoCollegeServicesOneStopbywithdrawaldeadline.CheckifthisisaCollegeWithdrawal
AddPolicy
Studentsareallowedtoaddclassesuptoandincludingtheseventh(7th)calendardayofthesemester(proratedforalternavesemesterlengths—seecata
log),ifspaceisavailable.Studentswhoaddclassesaresubjecttothefullaendancepolicyandareheldresponsibleforallcoursematerialsandas sign
ments.Beforeaddingaclass
studentsshouldconsultwiththeinstructortodeterminetheextentofmakeupworknecessaryforsuccessintheclass.Acourse
maybeaddedaertheseventh(7th)calendardayofthesemester(proratedforalternavesemesterlengths)onlywiththepermissionoftheinstructor*.
ExceponstoAddPolicy
1. 100%onlineclasses:Ifthesemester/classhasstarted,astudentmayadda100%onlineclassonlywiththepermissionoftheinstructor*(andadvisorfor
prerequisitesandmatriculatedstudents).
2. LabClasses:Ifthesemesterhasstarted,astudent mayaddaclasswithalabcomponentonlyiftherstclasshasnotbeenmissed.Oncetherst
classhas
beenmissed,thestudentmayaddonlywiththepermissionoftheinstructor*(andadvisorforprerequisitesandmatriculatedstudents).Examplesoflab
classesare,butnotlimitedto:labscience,computertechnologies,digitalmediatechnology,informaonsystemstechnologyanddrawing.Finaldecisionsof
whatisconsideredalabclassrestwithAcademicAairs .
*Theprogramchairorprogramcoordinatormaysigntheaddformiftheinstructorisunavailable.
CRN Course Title Instr.,Prog.Chair;Sig./Date
(requiredaerAddperiod)
10001 ACCT113 Acct.&FinancialReporngI‐EXAMPLE‐
Secon
HYA
StudentSignature:_________________________________________________________________Date:_______________
OFFICEUSEONLY
TERM:_______________FA:____YES____NOProcessedBy:____________________________Date:_______Curren tTotalCredits_________
AdvisorSignature(requiredformatriculatedstudentsaddingacourse):______________________________Date:_______________
CRN Course Title Instr.Sig./Date Grade
10001 ACCT113 Acct.&FinancialReporngI‐EXAMPLE‐
Secon
HYA
Instructorsignatureand“WP”or“WF”graderequiredONLYaerthe60%markofthecourse.
Updated9/7/16
320 Corporate Drive
Portsmouth, NH 03820
Phone: (603) 427-7610
FAX: (603) 334-6308
Withdrawal Checklist
In the college’s eort to gather information to support retention and quality improvement, we ask that you respond to our
anonymous withdrawal survey. Please return this with your ADD/DROP form. Responses are kept separately to assure anonymity.
Thank you!
Reason(s) for withdrawal:
Course: #1 #2 #3 #4 #5
Didn’t have the pre-requisite for this course
Didn’t feel prepared for the level of work
Not comfortable with the online learning format
Course required too much work
Course wasn’t as expected
Instructor’s style was not a good fit for me
Changed major
Course not required for program of study
Course won’t transfer as expected
Transferred in an equivalent course
Transfer to other college
Work schedule change
Too heavy a course load with other responsibilities
Financial challenges
Transportation issues
Relocation
Other personal issues
Other:
Comments:
Full Term 16 Weeks
1
st
Half 8 Weeks
2
nd
Half 8 Weeks
Front Part 12 Weeks
Late Start 12 Weeks
Custom Term
Course: #1 #2 #3 #4 #5
Length of course(s): Date of Withdrawal:
Term:
100% Online
Hybrid (Courses that blend traditional face-to-face learning with online learning)
Course: #1 #2 #3 #4 #5
Was the course(s) 100% Online or Hybrid?
Updated 9/7/16
SPRING SUMMER FALL
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