COURSE DROP/WITHDRAWAL REQUEST

COURSE DROP/WITHDRAWAL REQUEST

Complete this form to drop or withdraw from courses.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
WTC Student ID
Semester*
ex: Fall 20__
This form is intended to be completed by students who wish to withdraw from all of their courses or drop a particular course. Please note that dropping a course may affect your Financial Aid. It is recommended that you contact Financial Aid if you have questions about how completing this form may affect your award. Please have your official course schedule ready as you complete the following steps:
- List the course(s) that you wish to drop.
- If you are dropping for medical reasons, please contact Student Affairs at 843.355.4162 to see what documentation you may need to provide.
- Sign and date this form.
- Print a copy for your records.
- Submit this form and it will be sent to the required offices at WTC.
Who is your Advisor*
Drop/Withdrawal Course #1*
Choose from drop-down
Drop/Withdrawal Course #2
Choose from drop-down
Drop/Withdrawal Course #3
Choose from drop-down
Drop/Withdrawal Course #4
Choose from drop-down
Reason for drop/withdrawal*
*Medical (Please contact Student Affairs at 843.355.4162 or wrighta@wiltech.edu.)
Other: Please explain
By signing below, I realize that I am responsible for schedule changes that may affect my financial aid, account balance, and/or graduation. I have/ will read the Williamsburg Technical College Withdrawal and Refund policies as outlined in the Catalog.
Signature*

Sign with Mouse Clear
Date*

MonthDayYear
Date
Should be Empty: