Drop/Add Form (.pdf) - University of Dayton

PRINTED BY STANDARD REGISTER U.S.A. ZIPSET ®
University of Dayton
THIS IS A REQUEST TO CHANGE COURSE(S) REGISTERED FOR:
P R I N T W I T H P R E S S U R E
DROP / ADD FORM
SCHOOL/COLLEGE
A&S BUS EDU EGR LAW AES
F
Registration Office
Albert Emanuel Hall Rm. 240
Sept.,______ Jan., ______ May, _______ June, ______
YEAR YEAR YEAR YEAR
M A J O R
STUDENT ID
PRINT LAST NAME FIRST NAME MID. INIT.
COORDINATOR OF INTERNATIONAL SERVICES
UNDERGRADUATE FULL-TIME STUDENT
ACADEMIC DEAN'S SIGNATURE IS REQUIRED WHEN A
FULL-TIME STUDENT WITHDRAWS FROM THE UNIVERSITY.
INSTRUCTOR'S SIGNATURE
DURING "W" PERIOD
ADVISOR'S SIGNATURE
FOR DROP, ADD OR BOTH
DEAN'S SIGNATURE
WHEN REQUIRED
DATE
DATE
D
R
O
P
SECTION
DEPT. & NO. NO.
PLEASE LIST ALL COURSES
ACADEMIC DEAN SIGNATURE
CR.
REGISTRATION OFFICE DATE
DATE
Shaded area for
OFFICE USE ONLY
DATE USED FOR
RECORD & FINANCIAL
ADJUSTMENT.
NEW TOTAL HOURS
CHAIRPERSON'S SIGNATURE
WHEN REQUIRED
DATE
DEPT. & NO.
SECTION
OPT.
NO.
CR.
FINANCIAL AID OFFICE
A
D
D
TOTAL ADDED
STUDENT SIGNATURE
FORM UD # 1001, REV. 08/06
LOCAL TELEPHONE NO.

PRINTED BY STANDARD REGISTER U.S.A. ZIPSET ®
University of Dayton
THIS IS A REQUEST TO CHANGE COURSE(S) REGISTERED FOR:
P R I N T W I T H P R E S S U R E
DROP / ADD FORM
SCHOOL/COLLEGE
A&S BUS EDU EGR LAW AES
F
Registration Office
Albert Emanuel Hall Rm. 240
Sept.,______ Jan., ______ May, _______ June, ______
YEAR YEAR YEAR YEAR
M A J O R
PRINT LAST NAME FIRST NAME MID. INIT.
COORDINATOR OF INTERNATIONAL SERVICES
UNDERGRADUATE FULL-TIME STUDENT
ACADEMIC DEAN'S SIGNATURE IS REQUIRED WHEN A
FULL-TIME STUDENT WITHDRAWS FROM THE UNIVERSITY.
INSTRUCTOR'S SIGNATURE
DURING "W" PERIOD
ADVISOR'S SIGNATURE
FOR DROP, ADD OR BOTH
DEAN'S SIGNATURE
WHEN REQUIRED
DATE
DATE
D
R
O
P
DEPT. & NO.
SECTION
NO.
ACADEMIC DEAN SIGNATURE
CR.
REGISTRATION OFFICE DATE
DATE
Shaded area for
OFFICE USE ONLY
DATE USED FOR
RECORD & FINANCIAL
ADJUSTMENT.
NEW TOTAL HOURS
CHAIRPERSON'S SIGNATURE
WHEN REQUIRED
DATE
DEPT. & NO.
SECTION
OPT.
NO.
CR.
FINANCIAL AID OFFICE
A
D
D
TOTAL ADDED
STUDENT SIGNATURE
FORM UD # 1001, REV. 08/06
LOCAL TELEPHONE NO.