Document 6570690

Office of the Registrar • PO Box 141629 • Anchorage, AK 99514-1629 • Phone 907-786-1480
Clear Form
Spring
SEMESTER/YEAR
ADD/DROP
Summer
Fall
Print Form
Year
____________________________________________________________________________________
Full Legal Name (Last)
For Official Use Only
(Middle)
(First)
_____________________________________
UA Student ID
__________________________________________________________________________________
Email
UAA communicates with students primarily via email - Check it often!
ADD
Course
Reference
#
Subject
Course
Number
Section
Number of
Credits/Audit
ADD Course Title
Printed Instructor Name
Instructor Approval / Signature
Date
Instructor Must Sign and Date here
DROP/WITHDRAWAL
Course
Reference #
Subject
Course
Number
TOTAL WITHDRAWAL
Section
DROP/WITHDRAWAL
_______
Please drop/withdraw me from ALL my classes.
Course Title
Number of
Credits/Audit
Please Note:
• Deadlines for registration activity can be found at
http://www.uaa.alaska.edu/records/calendar.cfm
• Published deadlines are for regular full term courses.
• If faculty approval is given online, student will still
need to log in and register.
Student Initials
CREDIT/AUDIT CHANGES
Course
Reference #
Subject
Course
Number
Section
Course Title
Check Action
Printed Instructor Name
Audit To Credit
Credit To Audit
Audit To Credit
Credit To Audit
Instructor Signature
Date
Instructor Must Sign and Date Here
This form must be turned in at the University Center (UC) by the student for processing.
STUDENT SIGNATURE ___________________________________________ Date _______
Student Must Sign and Date Here After Printing
Rev.10/17/14
OFFICE USE Date Entered _______________Initials ______
RO ADD/DROP