Form 3 - Late Add/drop Form

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3
LATE ADD/DROP FORM
Office of the Registrar
(See Instructions on Back)
Use this form to add a course after second week of class or drop a course after eighth week of class.
PART 1: (To be completed by the student)
Date: _______________
Print
Student
Name: ___________________________________________________
ID #: ________ - ______ - _______
(LAST)
(FIRST)
(MI)
Term: Fall ____
Spring ____
Summer ____ Session 1___ Session 2___ Session 3___
yr
yr
yr
E-mail address: ____________________________________ Day Phone: _____________________________
**CRN# IS 5 DIGIT NUMBER IN LEFT COLUMN OF CLASS HOUR SCHEDULE**
PART 2
Late Add:
CRN# ____ ____ ____ ____ ____
___ ___ ___ ___ ___ ___ ___ ___
___ ___
_________
Subject
number
section
credit hours
[Example:
8
0
2 2 9
C S C I
1 1 0 0
0 1 ]
Course Name_________________________________________________________________________________________________
Signature of instructor (required for late add):_______________________________________________________________________
Print Instructor's Name:__________________________________________________________________Date: _____ /_____ /_____
Late Add:
CRN# ____ ____ ____ ____ ____
___ ___ ___ ___ ___ ___ ___ ___
___ ___
__________
Subject
number
section
credit hours
Course Name_________________________________________________________________________________________________
Signature of instructor (required for late add):_______________________________________________________________________
Print Instructor's Name:__________________________________________________________________Date: _____ /_____ /_____
PART 3
Late Drop: CRN# ____ ____ ____ ____ ____
___ ___ ___ ___
___ ___ ___ ___ ___ ___
___________
Subject
number
section
credit hours
Course Name_________________________________________________________________________________________________
Late Drop: CRN# ____ ____ ____ ____ ___
____ ___ ___ ___
___ ___ ___ ___ ___ ___
__________
Subject
number
section
credit hours
Course Name: _______________________________________________________________________________________________
PART 4:
Required authorization for all late drops or late adds:
UNDERGRADUATE STUDENTS: Advising & Learning Assistance Center ( Academy Hall, Rm 4226)
ALAC Staff Signature: ________________________________________________
Date: ___________
GRADUATE STUDENTS:
Advisor Signature: ____________________________________________________
Date: ___________
Graduate Program Director Signature: ____________________________________
Date: ___________
Dean of Graduate Education: ____________________________________________
Date: ____________
(1516 Peoples Ave)
12/2012

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