Schedule Change Form
SIGNATURE INSTRUCTIONS
STUDENT SIGNATURE
Student signature is required to drop or add any classes.
ADVISOR SIGNATURE
Advisor signature is required to drop any classes.
SPECIAL PERMISSION SIGNATURE
Advisor or Dean of the course offered can sign for classes requiring a prerequisite or co-requisite that have been met or
waived. To add a seat to a closed section, the Department Head’s signature of the course offered is required with an
annotation indicating the seat addition. Dean’s signature is required for late course adds, back dating, and approving
up to 13 or 14 hours. Vice President and Dean signatures are required to approve total hours of 15 or more.
CAMPUS WIDE ID PRINT LAST NAME
SCHEDULE CHANGES
For “W” DROP:
Student and advisor signatures are required.
Return completed form to the Regisrar’s Ofce.
A resignation card is required if dropping
ALL classes
REVISED 6-12-2014
FORM UR-001
Louisiana Tech University
Ofce of the Registrar
STUDENT SIGNATURE ADVISOR SIGNATURE SPECIAL PERMISSION SIGNATURE REGISTRAR
PRINT FIRST NAME PRINT MIDDLE NAME DATE (MM/DD/YY)
CALL NUMBER
ADD
DROP
COURSE
COURSE
NUMBER
NUMBER
WITHDRAW
NO GRADE
SECTION
SECTION
TOTAL HOURS
FOR QUARTER
AFTER CHANGE
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