IT IS THE STUDENT’S RESPONSIBILITY TO DROP
ANY CLASS THAT THEY DO NOT INTEND TO
COMPLETE. EXCESSIVE DROPS MAY AFFECT
ACADEMIC STATUS AND FINANCIAL AID.
Enter one that applies to reason
for dropping courses.
1. Attending Another School
2. Changed section
3. Too Difficult
4. Child Care Issues
5. Family Issues
6. Financial Aid Disbursement
7. Instructor Issues
8. Legal Obligations
9. Medical Issues
10. Lack of Motivation
11. Textbook/Material Costs
12. Transportation
13 .Tuition Costs
14. Work Conflict
15. Changed Mind
16. . COVID-19 2020S only
OFFICE USE
ONLY
UP TO A 12 UNIT LIFETIME MAXIMUM MAY BE
TAKEN ON A P/NP BASIS. STUDENTS HAVE UNTIL THE
END OF THE FOLLOWING SEMESTER TO CHANGE
FROM PASS/NO PASS TO A LETTER GRADE.
SECTION NO.
COURSE
COUNSELOR
SIGNATURE
REQUIRED
ONLY
IF DROPPING
GUID-54
SECTION NO.
COURSE
EXAMPLE:
1001
ENGL-01A
EXAMPLE:
1001
ENGL-01A
SECTION NO.
COURSE
UNITS
DAY
TIME
BLDG/ROOM
OFFICE USE ONLY MM = Multiple Measure / OTR = Other Transcript
EXAMPLE:
1001
ENGL-01A
4
MWF
7-10pm
IAC-122
INSTRUCTIONAL DEAN’S SIG. REQUIRED IF EFFECTIVE DATE IS AFTER 3
RD
WEEK
COUNSELOR SIGNATURE
IF PREREQUISITES NOT MET
PLACEMENT
OVERRIDE
APPROVED
USING
INSTRUCTOR’S
SIGNATURE TO ADD
(IF NEEDED)
DATE OF
FIRST
ATTENDANCE
STUDENTS ENROLLING IN A LAB CLASS INVOLVING READING, WRITING, MATH, SCIENCE, OR EXERCISE
WILL ALSO BE ENROLLED IN A FREE OF CHARGE NON-CREDIT CLASS FOR RECORDKEEPING PURPOSES.
MM
OTR
COURSE DROPS
PASS/NO PASS OPTION
COURSE ADDS-Please make sure form is complete, signed, and dated.
Student ID#
Phone Number
Last Name
First Name
Middle Initial
Student Signature
X
Date
Spring 2019
Summer 2020
Fall 2021
SCHEDULE REQUEST FORM
New/Returning Student Continuing Student K-12 Student
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