REQUEST TO ADD/DROP CLASS AFTER DEADLINE
In extenuating circumstances, a current student may request to add/drop a class after the
published deadline by completing Section 1 of this form and receiving authorization from the
appropriate dean/designate in the student’s school as noted in Section 2 of this form.
Section 1
Name: _________________________________________________________________________
(Last name) (First name) (Middle name)
Program: _______________________________________________________________________
MCW Email Address: _____________________________________________________________
Term for which you would like to add/drop: Fall Spring Summer (Graduate School only)
Class(es) to Add:
(Subject: AWAY, Course Number: D4886, CRN: 1234)
Subject: ____________ Course Number: ____________ Course Reference Number: ____________
Subject: ____________ Course Number: ____________ Course Reference Number: ____________
Class(es) to Drop:
(Subject: MEDI, Course Number: D4199, CRN: 5678)
Subject: ____________ Course Number: ____________ Course Reference Number: ____________
Subject: ____________ Course Number: ____________ Course Reference Number: ____________
Note: a medical student may only drop an elective when adding an away rotation after the MCW add/drop deadline.
I hereby request to add/drop the classes referenced above for the following reason(s):
__________________________________________________________________________________
__________________________________________________________________________________
Student Signature: ____________________________________________ Date: ________________
Section 2
I approve/deny the student’s request as noted above (circle one).
Required Dean/Designate Signature: Date: _________________
ALL COMPLETED FORMS MUST BE RETURNED BY THE SCHOOL TO:
Office of the Registrar, 8701 Watertown Plank Road, Milwaukee, WI 53226 · acadreg@mcw.edu /414-955-8733
Registrar Signature: __________________________________________ Date: _________________
