NORTH DAKOTA STATE COLLEGE OF SCIENCE
REGISTRATION APPEAL or EXEMPTION
Students have the right to appeal the NDSCS drop/withdrawal policy if there are
significant circumstances, which have prohibited the student from dropping a course or
withdrawing from all classes within the established timeframe.
**Appeals must be submitted within one (1) year from the term in which you are
appealing a drop and/or withdrawal to be considered.**
STUDENT NAME:
STUDENT ID: PHONE:
STUDENT EMAIL:
CURRENT ADDRESS:
CITY: STATE: ZIP CODE:
SEMESTER: YEAR:
CHECK ONE: Complete withdrawal
Drop course(s) Please list course(s) to be considered
1. COURSE TITLE
COURSE NUMBER
2. COURSE TITLE
COURSE NUMBER
3. COURSE TITLE
COURSE NUMBER
4. COURSE TITLE
COURSE NUMBER
5. COURSE TITLE
COURSE NUMBER
Please explain the basis for your appeal; be sure to include all pertinent
documentation.
STUDENT SIGNATURE: DATE:
Once this form is complete, return form to:
Arts, Science and Business
Dennis Broderick
NDSCS Old Main 110C
800 Sixth Street North
Wahpeton, ND 58076
dennis.a.broderick@ndscs.edu
Technologies and Services
Mindy Manock Tayer
NDSCS Old Main 110B
800 Sixth Street North
Wahpeton, ND 58076
mindy.manocktayer@ndscs.edu
Fargo Location
Sara Mack
NDSCS-Fargo 183B
1305 19
th
Avenue N
Fargo, ND 58102
sara.mack@ndscs.edu
---------------------------------------------------------- OFFICE USE ONLY ----------------------------------------------------------
Reviewed by: Date:
Approved Denied Credit Hours:
Comments:
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signature
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