Version number: sum08
Date Revised: 08/2020
Undergraduate Request for One-Time Late Drop
Use your FSU student email to submit the completed form to
eadline for Fall 2020: Nov. 13, 2020
am requesting to drop ______________________________________, for the Fall term 2020.
(Course Prefix/Number)
our drop will not be processed unless you read and INITIAL each statement.
I understand I can use only a single one-time late drop as an upper division student (60 or more
I understand that dropping this course will have Mapping, Bright Futures, and/or Excess Credit
implications and could result in a hold being placed on my future registration.
My signature below affirms there are no academic honor policy penalties or ongoing academic
honor policy allegations related to the course I am requesting to drop. The drop will be rescinded if it is
discovered that such issues exist or were resolved with sanction.
I understand and agree that if I drop or withdraw from some or all of the classes for which I
register, I will be responsible for paying all or a portion of tuition and fees in accordance with the
published tuition refund schedule at FSU-2.02417 Refund of Tuition and Fees
. I have read the terms and
conditions of the published tuition refund schedule and understand those terms are incorporated herein
by reference. I further understand that my failure to attend class or receive a bill does not absolve me of
my financial responsibility as described above.
f you are a Bright Futures recipient, that part of the tuition must be repaid fully.
Please direct any specific questions you have about your financial aid package to the Office of Financial
Aid at
and questions regarding fee liability to the Office of Student Business
Services at
tudent Name (Print): ______________________________________
SU Email: _________________________ Phone: _____________
tudent Signature: ________________________________________ Date: ________
By typing my name here, I am electronically signing this form.
College of Arts and Sciences Dean’s Office Approval: _________________________ Date: ________
For Office Use Only: