Instructor Drop Form

Official Instructor Drop

This form verifies that, due to lack of attendance and at the request of the instructor, the student(s) mentioned below has (have) been dropped from the course documented above. If you require further assistance please feel free to contact the Office of the Registrar. No Instructor Drops will be accepted after the third week of any term.

Instructor's Name*

First Name

Last Name

Department*

Ex. ENGL

Course Number*

Ex. 120

CRN*

Ex. 12345

Course Title*

Ex. Why Read?

Whittier Email*

Term*

Year*

Student Information

Student's ID*

Student's Name*

Comments

Student's ID

Student's Name

Comments

Student's ID

Student's Name

Comments

Student's ID

Student's Name

Comments

Student's ID

Student's Name

Comments

Student's ID

Student's Name

Comments

Student's ID

Student's Name

Comments

Student's ID

Student's Name

Comments

Student's ID

Student's Name

Comments

Registrar Review

Processed By:*

First Name

Last Name

Notes