Fillable SCHEDULE CHANGE FORM - ADD/DROP (Pierce College at Puyallup)

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SCHEDULE CHANGE FORM - ADD/DROP (Pierce College at Puyallup)

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SCHEDULE CHANGE FORM - ADD/DROP
QTR CODE: _________
STUDENT IDENTIFICATION #
— —
QUARTER: £ SUM £ FALL £ WIN £ SPR YEAR _________
LEGAL LAST NAME (please print clearly) LEGAL FIRST MIDDLE INITIAL
ADDRESS - NUMBER, STREET AND APT. #, ROUTE & BOX OR P.O. CITY STATE ZIP
DAY PHONE
— —
EVENING PHONE
— —
ADD DROP
A if
Audit
ITEM NO. COURSE DEPT. & NUMBER CRE
BUILDING/ROOM
DAYS TIME *INSTRUCTOR SIGNATURE ITEM NO. COURSE DEPT. & NUMBER CRE
PREVIOUS CREDIT LOAD REVISED CREDIT LOAD
*IMPORTANT - Valid faculty signature required for adds after the 3rd day of quarter or
for class overloads/closed classes. Forgery may subject student to disciplinary action.
_________________________________________________________
STUDENT SIGNATURE
_________________________________________________________
ADVISOR SIGNATURE
(Required for specic programs, i.e., Running Start & International Education.)
FOR OFFICE USE ONLY
_______________ _______________DATE FORM RECEIVED INITIAL
TUITION
TOTALS $
REFUND AMOUNT DUE
REGISTRAR
1208-8658 AF
Before You Withdraw
If you receive nancial aid, veterans’ benets, or
other tuition assistance, you should consult with that
oce before withdrawing. Withdrawing may cause
repayment and/or aect future eligibility.
Tuition and Fee Payment
You will be fully responsible for paying your tuition
and other debts owed to Pierce College by the tuition
due date. If you fail to pay these debts, they may be
referred to an outside agency for collection. You will
be responsible for all collection costs and legal fees
allowed by Washington state law.
Refunds
Refunds are usually processed after the 10th day of
the quarter. Refunds are issued by check and mailed
to you except for nancial aid or agency refunds.
Allow at least 30 days to process. See the online
eSchedule or go to www.pierce.ctc.edu for complete
refund information.
Mail-In or FAX Schedule Change Form Instructions:
To add or drop classes from your schedule, please complete the Schedule Change
Form and submit it to the Registration Office. Be sure to write your classes on the
correct side of the form depending on whether you are adding or dropping. If you
are in a special program; i.e., Running Start or International Education, please be
sure to send your form to the appropriate advisor to obtain a signature before
submitting it to Registration.
If you are adding classes, please refer to the online quarterly eSchedule for
registration dates and the starting date of the class. If adding creates a balance
due, be prepared to pay immediately once your form is processed - as tuition is
due at the time of registration. If you are enrolling in a class that has a prerequisite,
you must submit proof (i.e., test scores, transcript) that you have met the
prerequisite along with your schedule change form. This only applies if you did not
take the prerequisite class at Pierce College.
If you are dropping classes, please refer to the online quarterly eSchedule for
drop dates. If you are expecting a refund, please refer to the tuition refund policy
published in the online quarterly eSchedule. Each quarter has specific dates that
determine whether or not you will be eligible to receive a refund.
Your schedule change will be processed as quickly as possible. If your changes
cannot be processed, we will contact you by phone or send an email to your Pierce
College student email.
Submit this form by mail, FAX or drop off at the Registration Office.
Pierce College Fort Steilacoom
Registration Office
9401 Farwest Dr SW
Lakewood, WA 98498
Fax: 253-964-6427
Pierce College Puyallup
Registration Office
1601 39
th
Avenue SE
Puyallup, WA 98374
Fax: 253-840-8449
Questions? If you have questions or wish to confirm your schedule change has
been processed, go online at MyPierce to check your schedule or call the
Registration Office.
Pierce College Fort Steilacoom - 253-964-6615
Pierce College Puyallup – 253-840-8400
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SCHEDULE CHANGE FORM - ADDDROP (Pierce College at Puyallup)

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Completed 9 October 2020

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