Admissions - Drop Class Registration Form

Student Name(Required)

First Last

Student ID(Required)

Please enter the student ID (ANumber)

Term(Required)

Fall

Spring

Summer

Year(Required)

This value will be automatically populated.

(CRN) Course Registration #(Required)

Subject and Course(Required)

example: ENGL 1500

Course Units(Required)

Course Title(Required)

Does this course meet in-person?(Required)

Yes

Course Days(Required)

example: M, W, F

Room #(Required)

Which of the following applies?(Required)

No Show (student did not participate at all)

Instructor Drop (student showed then stopped showing/participating)

Student is switching to different section of this course

What was the last date of attendance/participation?(Required)

Instructor Name(Required)

Instructor Email(Required)

Enter Email Confirm Email

Instructor Signature(Required)

Date(Required)

CAPTCHA