Winterterm Request to Drop

Student Information

Provide the University ID# that was issued to you with your confirmation letter.

University ID#: *

Please be sure to double check the spelling of your name.

Last, First, M: *

Date of Birth (MM/DD/YY): *

Email: *

Course Request

Please be sure to include all information from your registration.

Course Code Letters (ex. M): *

Course Code Number (ex. 110): *

CRN (5 digit course reference): *

Do you have more than one course to drop?: *

Submission and Policy Agreement

By submitting this form, the above student is requesting to be dropped from the course provided and will not be formally dropped until permission is granted following the drop dates provided at the time of registration. The student is also aware that refunds will only be made to those courses that follow the University's drop and refund policies.

I Agree: *