For Office Use TERM

DROP/ADD FORM RGCHCOUR

Only

Campus ID (C#) Canelink ID (5#) Student Name (Last, First, Middle Initial) School/Program/Plan EFFECTIVE DATE

Email Address: Phone Number (WHERE WE CAN REACH YOU):

DROPS UNDERGRADUATES: DROPPING BELOW 12 CREDITS MAY

JEOPARDIZE YOUR FINANCIAL AID ADDS
Subject Catalog # Section Class # # OF U / G CREDIT COMMENTS AND OR Subject Catalog # Section Class # # OF U / G CREDIT COMMENTS AND/OR REASON FOR OVERRIDE
CREDITS ONLY OVERRIDE SIGNATURES CREDITS ONLY OVERRIDE SIGNATURES PLEASE CHECK & INITIAL

Time Conflict Requisites

Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
Time Conflict Requisites
Closed Class Unit Load
Class Permission
COMMENTS: NOTE: JUSTIFICATION MUST BE PROVIDED BY THE DEAN WHEN FEES ARE WAIVED OR RETROACTIVE DATES RECOMMENDED (PLEASE INCLUDE SIGNATURE)

___________________________________ __________________________________ _______________ ___________________________

DEAN SIGNATURE DEAN PRINT NAME DATE PHONE NUMBER Maximum number of Credits
approved by Dean:
__________
___________________________________ __________________________________ _______________ ___________________________
ADVISOR SIGNATURE ADVISOR PRINT NAME DATE PHONE NUMBER

______________________________________ _______________
STUDENT SIGNATURE DATE

1 – REGISTRAR COPY I ACCEPT THE FINANCIAL TERMS OF ENROLLMENT AND TITLE IV NOTIFICATION ATHLETICS PERMISSION FOR REGISTRATION ONLY:
*Note: Dean's signature required for credit overload, dropping or adding after the SIGNATURE:
2 – ACADEMIC DEAN’S COPY deadline, backdating and exceptions within individual schools. Student is also responsible
PROCESSED BY:__________________________
for the financial responsibility and the federal Title IV notification on back of this form. __________________
3 – STUDENT’S COPY DATE: _______________ REV: 9/26/18