Tennessee Tech | Office of the Registrar | Jere Whitson Building, Room 221 | 931.372.3317 | registrar@tntech.edu | tntech.edu/em/records/
Office of the Registrar
TENNESSEE TECH
This form only applies to the current term and will not be accepted after the last day of class.
Student Name: _____________________________________________ T#: __________________ Term: _________
(Last) (First) (MI)
Email: ________________________________________________ Phone: _____________________________
Student Signature: ___________________________________________ Date: ___________________
Courses for which you are seeking an exception to drop after the published deadline:
CRN SUBJECT COURSE NUMBER SECTION NUMBER
Explain in detail why you did not meet the requirement to drop before the published deadline (complete a typed
explanation if additional space needed and attach to this form). YOU MUST ATTACH ANY SUPPORTING
DOCUMENTATION FOR EXTENUATING CIRCUMSTANCES. Requests without any supporting documentation are
considered incomplete and will not be processed. If you are approved to drop after the deadline, you will be assigned
a “W” grade. A “W” grade does not affect your GPA.
Recommendation of Instructor: Support Oppose No recommendation
Comments: _______________________________________________________________________________
Instructor’s signature: _______________________________________________ Date: ________________
Recommendation of Advisor: Support Oppose No recommendation
Comments: _______________________________________________________________________________
Advisor’s signature: _______________________________________________ Date: __________________
Final Decision of Office of the Registrar: Approve Deny Date: ________________
Associate Registrar’s Signature: ______________________________________________________________________
Comments/Processing Instructions: ____________________________________________________________________
_________________________________________________________________________________________________
