Holland Schedule Change Request Form

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Any Holland student desiring to drop the Holland program or requesting changes to home campus schedules may do so starting 2nd semester. Any Holland student on academic probation that has not been successful 1st semester is encouraged to have a conversation with Mrs. Seekins about dropping the program. While we want everyone to commit to the program, it is understandable that not all students who enter the program are going to be a fit for healthcare. Our desire is help you find the program that fits you. Please complete this form for academic advising with Mrs. Seekins. All responses must be completed by January 9. All requests may not be accommodated due to space or timing. Your request will be considered and your schedule changed if possible.

Email *

Student ID *

Last Name *

First Name *

Grade Level *

Home campus *

AHS

CHS

ATEMS

Home campus course(s) requesting to drop? : Please list course

Program you would like to drop. Dropping the program also means you will be dropped from your companion class (English, A&P or Micro).

CNA

DHS

RDA

CCMA

Pharmacy

Clear selection

Course(s) requesting to add? List all - remember Holland courses account for 3 classes in your schedule.

I acknowledge that my parent or guardian has been advised or informed of my request.

yes

Clear selection

Submit

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