Department of Engineering technology and Industrial Distribution
Request to Drop a Course(s)
Check the Semester for Which Q-Drop is Applicable:(current term only)
Fall   Spring   Summer I   Summer II   10-week Summer      Year

Name ID# Local Phone
                (LAST)                      (FIRST)

Major and Speciality Classification

Are you on academic probation? YES NO

GPR at the end of last semester? Overall GPR Major GPR

List your complete current schedule and check the box in the drop column beside the course(s) you want to drop:
Courses Hours Drop
Number of previously approved Q-drops (excluding Q-drops for KINE,ROTC,and one-hour courses)

Why do you want to drop this course?


Total


Do you have minimum semester hours which this possible drop action would affect?
YES NO If yes,explain how you will handle this situation.


Concerning this Q-drop request,I understand that it is my responsiblity to ensure that I am in compliance with any "registration therein"or "corequisite" course requirements and that i am solely accountable for the ramifications which may result from the change in my enrollment status.In addition,I am aware that this Q-drop may affect my ability to enroll in a course next semseter for which the course I am dropping is a prerequisite.I also understand that beginning with the Fall semester of 1991 no more than 3 Q-drops may be approved during my remaining undergraduate academic career,regardless of the colleges in which I have been enrolled.

I do do not recommend approval of this  _______________________________ ______
Q-drop request.
(Student's  Signature) 
  (Date)
     
I do do not recommend approval of this  _______________________________ ______
Q-drop request.    
(Advisor's  Signature) 
  (Date)
     
   _______________________________ ______
 
(Program Coordinator's Signature) 
  (Date)