Revised 07/28/2016
Student @ ID: _______________________ Student Printed Name: ___________________________________
Semester: ☐ Fall ☐ Spring ☐ Summer Year: _____________
☐ Academic Probation/Suspension GPA: _____________
Maximum credit hour limits are 12 for probation and 6 for suspension.
Completed Add/Drop form must be attached with Advisor’s signature.
☐ Register for Credit Hour Overload (enrollment in over 18 credit hours)
GPA: ____________ Total Credit Hours: _____________
☐ Reinstatement into Course
Course CRN: _____________ Course Prefix/Number: ______________________
Add/Drop form must be attached with instructor’s signature. Please do not use this form for accidental
drops.
☐ Residency Reclassification
New Residency Statement and supporting documentation must be attached.
Reason for Request: _________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Student Signature: _________________________________ Date: _______________________________
OFFICE OF REGISTRATION & ENROLLMENT SERVICES ONLY:
☐ Approved ☐ Denied
Registrar Signature: Date: _____
Processed by (Printed Name): _______________ Date: _____
Registration and Enrollment Services
Phone: 928-226-4299
Fax: 928-226-4033
Email: enrollment.services@coconino.edu
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