Name: ______________________________________________ SS#:
_______________________
Last Name
First Name
Student Address: __________________________________________________________________
Date: ______________ Semester: _____ Spring
_____ Summer _____ Fall
Year: 20_____
| Courses Added | ||||
|---|---|---|---|---|
| Course Name | Prefix | No. | Section | Notes |
| Courses Dropped | ||||
| Course Name | Prefix | No. | Section | Notes |
| Reason for Change: | |
| Student Comments:
Student Signature: ______________________________________ Counselor/Advisor Signature: ______________________________________ Note: A drop in class hours may result in financial aid suspension or probation. Consult the financial aid office first. |