REQUEST TO DROP / WITHDRAW
FROM DISTANCE LEARNING COURSE(S)

* = Required fields

Drop Course(s) during drop/add

Withdrawal from Course(s) after drop/add

Withdrawal from College

Last Name	First Name	Middle	Maiden	(*)Today's Date

School Year	Semester	College ID #. (if known)
2010 2011	Fall Spring Full Summer 1st session Summer 2nd session Summer	(*)Your SCC e-mail address

Drop
(*)Course prefix	(*)Number	(*)Section	Course Title	Instructor Name	Ever Attended?
ex: ART	ex: 111	ex: WC1
					Yes No
					Yes No
					Yes No
					Yes No
					Yes No
	Who is your advisor?

I verify that I am the student named above. (*)