Add/Drop Request Form Registrar's office

First Name:     Last Name:     ID # (9-digit):     Box #:     Email: 

Academic Program: --Select--UndergraduateDegree CompletionGraduate       Spring:  Summer:   Fall:     Year:   

Academic Advisor: --Select--Adams, JamesAlexander, DianneAllers, AndrewAquilone, ToriArner, RobertBackhaus, FredBair, JillianBaker, DouglasBastedo, BradleyBell, StephenBelser, CaylaBenjamin, RebeccaBennett, DanielBergvall, CindyBingaman, ZacharyBlack, JeffBlank, NicoleBooth, EllenBorrmann, KennethBorrmann, RuthBose, ScottBose, StaceyBrand, SteeleBreece, MichaelBressler, BrandonBryant, JaredBryant, JoannaBulat, KateBurgan, GraemeCain, AnnaCampbell-Farrell, JulietCandy, ChipCarroll, MeganCarson, RyanCawood, ScottCella, RebeccaCheyney, DonClifford, DavidCondy, StevenCooper, BarbaraCooper, DerekCovone, JohnCragin, JohnCramer, IsaiahCurtis-Beaman, JanelleDellaperute, MikeDiFiore, ChristopherDolezal, JamesDunlap, AmyDuprey, JulianaDwyer,DavidEckert,CarolynElmer, ThomasEmery, SarahEnsinger, ErinEvans, EllaFurrow, JohnEubank, SusanEvangelous, LizFanus, GregoryFeather, PhillipFeeney, PeterFiori, AndreaFleming, JesseFraga, AnthonyFrazier, JohnFrench, DaveGarrison, MatthewGarzon, JuanGelinas, HelenGivens, CarrieGlase, TimothyGleason, CharlotteGottier, KatelynGraham, MatthewGrisham, VirginiaHalliday, NancyHampton, BillHandzlik, LaurieHaney, StephenHarkness, CherithHilborn, RickHong, ThomasHouseworth, LisaHui, AndrewHui, TimHurst, AnthonyJames, ChristineJensen, GregoryJetter, KimKaceli, SaliKamm, JoelKang, YunnKhushman, AneeshKieselowsky, AllisonKramer, DavidKramer, RobertKrause, DeborahKrewson, WilliamKrouse, MeghanKu, RachelKuchinsky-Smith, RuthLaRocca, RobertLawrence, LieslLeary, ScottLee, LisaLloyd, ChristopherLoch, DanLogan, JenLouis, JessicaLuther, BrianMacQueen, PaulMaguire, SeanMaier, BryanMakai, SamanthaMark, ShawnMarks, DavidMassie, RobinMaust, DennisMcAlack, JeremyMcAlack, MatthewMcClellan, KennethMcEwen-Reeder, DalissaMcFadden, KevinMcInnis, MeganMehmel, KateMesher, JohnMeyer, JimMeyers, LisaMiller, AndrewMiller, JanetMiller, JosephMiller, MatthewMinnema, JonathanMoro, CarolenaMoutoux, ElizabethMuli, AlfredMurawski, BryanNoble, SharonO'Brien, JackOrlando, HilaryPadden, DanielParker, GregPayton, DeionPetcaugh, BrandonPlummer, KeithPorcella, AdamPorcella, HannahPotts, ErickaPriebe, WilliamQian, DannyRaley, MatthewRavin, MarikaReppenhagen, MarcellaRice, DeborahRich, JamesRiggall, ZoeRobinson, FrankRodriguez, StevenRoman, RebeccahRudloff, JeffRuiz Esparza, EmirSchafli, EphraimSchaller, GregorySchlenker, SteveSchnittjer, GarySchuman, RobertSeidel, WhitneySeverns, JudyShaw, WayneSiegenthaler, DaleSmith, DouglasStange, AndreaStange, JohnStemler, MatthewSutton, ElizabethTarbert, LauraTaylor, SunilTennefoss, KristaTerry, DennisThorpe, GrahamTideman, DavidToews, BrianTreadwell, KeithTunstall, RebeccaVasso, SherylWard, LauraWatson, ScottWayman, CatherineWeir, SteveWenger, DanaWhitney, VirginiaWiedis, DavidWilliams, ToddWolf, DebbieWolfskill, HeidiWright, RebeccaYoung, DanielZahn, PatrickZellner, BreaZimmerman, MichaelTS (Testing)ARC (Testing)Registrar (Testing)  
(If you are unsure who your advisor is, please log into https://selfservice.cairn.edu and it is listed at the bottom of your schedule.)

Course(s) to ADD:

1. Course Code:    Section:    Course Title:   Credits: 

2. Course Code:    Section:    Course Title:   Credits: 

3. Course Code:    Section:    Course Title:   Credits: 

4. Course Code:    Section:    Course Title:   Credits: 

5. Course Code:    Section:    Course Title:   Credits: 

Course(s) to DROP:

1. Course Code:    Section:    Course Title:   Credits: 

2. Course Code:    Section:    Course Title:   Credits: 

3. Course Code:    Section:    Course Title:   Credits: 

4. Course Code:    Section:    Course Title:   Credits: 

5. Course Code:    Section:    Course Title:   Credits: 

Revised Total Credits:   (Registrar's Office Use Only)

Student's Signature:    Date:   

Academic Advisor's Signature:     Date:   

Advisor Comments (optional): 

Registrar's Office Signature:   Date:  

Registrar Comments (optional):