Add/Drop, Withdrawal, Leave or Absence
Seek advice from Academic Department prior to applying for ADD/DROP or WITHDRAWAL

Courses that are a semester or longer duration
ADD/DROP:      Use this form to ADD or DROP course(s) prior to the end of the late registration deadline.
WITHDRAW:     Use this form to WITHDRAW from course(s) prior to the end of the Withdrawal deadline.

Week 1             Early Registration
Week 2             Standard Registration
Week 3             Classes Start.  Add/Drop without penalty
Week 4             Late registration. New and changes in Registration carry penalty. 
                          Withdrawal required to pay 25% of tuition. 
Week 5             Withdrawal required to pay 50% of tuition
Week 6             Withdrawal required to pay 75% of tuition
Week 7             Withdrawal ends. 100% of tuition due.  A grade of "W" assigned.
Week 8              Grade of "F" assigned
Sign in to Google to save your progress. Learn more
Student Name *
Please indicate your full name (first and last names).
Student ID Number
Complete if requesting to Add or Drop a course
For example:      Add - Mathematics                              Drop - Spanish
Complete if applying for course withdrawal
Please explain reason(s) for withdrawal
Complete if applying for leave of absence or programme withdrawal
Please explain reason(s) for leave of absence or programme withdrawal
Indicate duration for LOA (Semesters)
Include both start and end date.  For example   12 January - 2 February
Indicate if you are requesting a refund
If you are requesting a refund kindly complete the refund request form https://forms.gle/tvRCduq4RjbiWajR9
Clear selection
Declaration
By submitting this request, I confirm that all the information is complete and correct and take responsibility for any errors submitted.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Anguilla Community College. Report Abuse
Google Forms