Drop/Withdrawal Request Form
Student must complete this form to request for the Registrar's office to remove a course or courses from students schedule if student has a registration hold. Removal of courses will not remove student's financial responsibility.
Student Name
*
First Name
Last Name
Student ID
*
Lola number
Student Email
*
example@example.com
Course Information
*
Course Subject (ex. MATH)
Course Number (ex. 1100)
Course CRN# (ex. 10024)
Action Request
Action Request
Action Request
Action Request
Action Request
Action Request
Action Request
Action Request
Requestor Signature
*
Submit Application
Should be Empty: