DEVELOPMENTAL STUDIES PROGRAM 

COURSE DROP/WITHDRAWAL FORM

Last Name:  _________________________First Name:  ______________________        M.I.:  _______

Social Security Number:  _________________________  Semester and Year  __________________

DSP course(s) being dropped:    __________________________________________________________

Are you withdrawing (Dropping ALL Courses)?  Yes  ______           No  ______

______Online Course              ______Traditional Course

Reason for change of schedule:         ______ fell behind in coursework

                                    ______ not prepared for use of technology

                                                            ______ course more difficult than expected

                                                            ______ change in work schedule

                                                            ______ added work hours

                                                            ______ relocating

                                                            ______ other (Please specify.)______________________

1.  The student must obtain the discipline Coordinator’s or Instructor’s signature and DSP Director’s signature on both the Change of Registration Form and this Developmental Studies Program Drop/Withdrawal Form.

2.  The student is not officially dropped from a DSP course until approvals have been obtained and both the Change of Registration Form and this DSP form have been processed by the appropriate offices.

3.  Students are encouraged to continue to attend classes.  Students who fail to get official approval to drop a DSP course and who are not attending classes will receive an “F” for the course.

4.  According to the Tennessee Board of Regents A-100 Guidelines, which relate to Developmental Studies Program provisions, “Students needing DSP courses must enroll in and satisfactorily complete these courses during their initial term of enrollment.  Persistence in the program is essential.”  Therefore, completion of DSP courses precedes other courses.

5.  I know that I MUST re-enroll in any dropped DSP course during my next term of enrollment.

__________________________________________                                   ______________________

             Student’s Signature                                                  Date

___________________________________________                                            ______________________

Instructor’s or Discipline Coordinator’s Signature                     Date

__________________________________________                                   ______________________
  DSP Director’s or DSP Counselor’s Signature                            Date

 
                                                                                                                                                                                                     02/05