Mechanical & Industrial Engineering Department

Student Last Name

Student First Name

Last 4 Digits of Student ID

Student Phone Number Please provide your phone number so an advisor can contact you if there is a problem.

Student email

Provide preferred email.

Student Major Select major from drop-down list.

Student Academic Advisor Who is your academic advisor?

Dropping/withdrawing from one or more classes may affect progress toward degree completion, Federal financial aid benefits, or academic scholarship awards. In this section, please select the appropriate response for your situation in each of these areas.

Drop Impact to Degree Completion

Course(s) being dropped are not pre-requisites

At least one course being dropped is a pre-requisite, but I have talked with an advisor about what to do

Confirm you are aware how dropping will affect your progress to degree completion.

Drop Impact to Financial Aid

I know how dropping this course affects percentage toward degree completion

I know how dropping this course affects my full-time enrollment status

Confirm you are aware how dropping will affect financial aid funding.

Drop Impact to Academic Scholarships Confirm you are aware how dropping will affect any academic scholarships. (Use mouse and Ctrl-click to select all that apply)

If you are a student-athlete, using Veterans benefits, or an International student, confirm below you have met with the appropriate support office regarding the impact of this request to be withdrawn from 1 or more courses.

Student Athletes must meet with Academic Services to confirm eligibility

I have met with academic office for student athletes

Eligibility requirements have been resolved

Confirm meeting with Athletic Services

Students using funds through Veteran Services

I have met with Veteran Services about dropping a course(s)

I understand the financial responsibility resulting from dropping a course(s)

Confirm meeting with Veteran Services

International Students: Full time student requirement

I have met with the Office of International Programs

The Office of International Programs has approved dropping below full-time student status

Course(s) dropped do not affect full-time student status

Confirm I-20 ISA requirements will be met

This process supports students seeking to withdraw from 1 or more courses, but NOT a full university withdrawal. Full University Withdrawals are managed through the Office of the Registrar. Please contact the Registrar for more information.

Number of Courses Requested to Drop

How many courses are you requesting to drop?

Course 1 Drop Request Course Number: e.g. CHMY 121, MUSI 101

Course 1 Instructor Meeting

Yes

Have you talked to your instructor about dropping this course?

Course 2 Drop RequestCourse Number: e.g. CHMY 121, MUSI 101

Course 2 Instructor Meeting

Yes

Have you talked with your instructor about dropping this course?

Course 3 Drop RequestCourse Number: e.g. CHMY 121, MUSI 101

Course 3 Instructor Meeting

Yes

Have you talked with your instructor about dropping this course?

Course 4 Drop RequestCourse Number: e.g. CHMY 121, MUSI 101

Course 4 Instructor Meeting

Yes

Have you talked with your instructor about dropping this course?

Academic Advisors

COEX Program Academic Advisor

Complete and Submit this Drop Request Form

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