Course Add/Drop/Withdraw Request

Name*

First Last

Email*

I am an...*

On Campus Student
Distance Learning Student

Number of Credits Before Change*

Number of Credits After Change*

Reducing your course load to less than full-time enrollment (12 credits per semester) could affect your financial aid status. Please ensure that you wish to have less than full-time enrollment before continuing.

I wish to:*

Add courses
Drop/withdraw from courses
Add and drop/withdraw from courses

I receive Veteran's Administration educational benefits:*

Yes
No

Courses Dropped/Withdrawn*

Please provide the Course number, course name, number of credits, reason for dropping the course, and the name of the professor in the provided fields.

Course Number	Course Name	Credits	Reason for Dropping	Name of Professor

Courses Added*

Please provide the Course number, course name, number of credits, reason for adding the course, and the name of the professor in the provided fields.

Course Number	Course Name	Credits	Reason for Adding	Name of Professor

Signature*

I understand that typing my name in this field constitutes my electronic signature on this document, and that adding a class will increase my balance due, and that all courses dropped are subject to the school's Tuition Refund Schedule. My student account will be adjusted to reflect financial changes. My signature below indicates I have read and agree to these terms.

Phone

This field is for validation purposes and should be left unchanged.