Office of the Registrar • PO Box 141629 • Anchorage, AK 99514-1629 • Phone 907-786-1480 Clear Form Spring SEMESTER/YEAR ADD/DROP Summer Fall Print Form Year ____________________________________________________________________________________ Full Legal Name (Last) For Official Use Only (Middle) (First) _____________________________________ UA Student ID __________________________________________________________________________________ Email UAA communicates with students primarily via email - Check it often! ADD Course Reference # Subject Course Number Section Number of Credits/Audit ADD Course Title Printed Instructor Name Instructor Approval / Signature Date Instructor Must Sign and Date here DROP/WITHDRAWAL Course Reference # Subject Course Number TOTAL WITHDRAWAL Section DROP/WITHDRAWAL _______ Please drop/withdraw me from ALL my classes. Course Title Number of Credits/Audit Please Note: • Deadlines for registration activity can be found at http://www.uaa.alaska.edu/records/calendar.cfm • Published deadlines are for regular full term courses. • If faculty approval is given online, student will still need to log in and register. Student Initials CREDIT/AUDIT CHANGES Course Reference # Subject Course Number Section Course Title Check Action Printed Instructor Name Audit To Credit Credit To Audit Audit To Credit Credit To Audit Instructor Signature Date Instructor Must Sign and Date Here This form must be turned in at the University Center (UC) by the student for processing. STUDENT SIGNATURE ___________________________________________ Date _______ Student Must Sign and Date Here After Printing Rev.10/17/14 OFFICE USE Date Entered _______________Initials ______ RO ADD/DROP