Dallas Baptist UniversityRequest for CHANGE IN SCHEDULE

OFFICIAL USE ONLY: Drop date/tuition refund determined by date received in Registrar’s Office.

Approved Registrar: _____________________________

Semester: _____________________________________ Date Received: ____________________________

Date: _________________________________________

Date: __________________________

Name: ________________________________________________________________ SS#: __________________________Last First Middle

Permanent Mailing Address: ________________________________________________________________________________Number and Street City State ZIP Code

Do you receive VA Benefits? ❑❑❑❑❑ Yes ❑❑❑❑❑ No Daytime Phone: ___________________ Evening Phone: _________________

STUDENT: Your schedule change will not take effect until this form has been completed and returned to the Registrar’s Office.

Student Signature: _______________________________________________________

Name of Course Advisor’s Signature/DateDROP

ADD

Term Department Course Number Section Code

ADD/DROP FORM

Please refer to Tuition Refund Policies in the current Schedule of Classes or contact the Cashier’s Office for tuition refundinformation before dropping a class. A class must be dropped before the first class meeting in order to receive a 100%refund.

The student is responsible in every situation for making sure the form for the add/drop progresses through each step inthe process, whether the process is conducted in person or through faxes and telephone conversations.