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Withdraw or Drop Classes
Drop/Withdraw Form
Last Name:
*
Preregistration Number (6 digits):
*
Course Title:
*
Course Number:
*
Course Section Number:
*
Home Institution:
*
Originating Institution:
*
Student Authorization:
*
Session:
*
Protection Code:
*
Please, enter the text shown in the image into the field above.
Email:
*
Last Date Attended or Effective Date:
Middle Name:
First Name:
*
ICN Online Drop/Withdrawal Form
Click to refresh the text
Student Signature: enter your first and last name
Date:
*
Email used for ICN Registration
e.g. Summer 2012
Before you drop or withdraw from a course, contact the ICN campus coordinator at your Home Institution for a copy of the refund policy and drop schedule. Your ICN campus coordinator will notify your instructor. Note, this form processes one course at a time.
Misc. Info:
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