Learning Support Drop Application Instructions*
Learning Support (LS) courses may only be dropped under serious circumstances as stated
in the Roane State Community College catalog and according to the Tennessee Board of
Regents A-100 guidelines. In order to drop a LS course at Roane State, you must read this
document and follow the instructions below. After a review of your request, the LS
Director will make a decision. You will be notified of the approval or denial of your
application by telephone or by email.
Instructions:
1. Contact your LS instructor and discuss your situation. All efforts should be made by
the student to resolve the situation without dropping prior to submitting the LS
Drop Application. Your instructor is required to sign the LS Drop Application to
verify that no other solution for this student could be found.
2. Provide all the information requested on the LS Drop Application (see below). If
you are withdrawing from the college (dropping all of your courses), you may skip
steps II, III, and IV on the LS Drop Application.
3. Attach



Official documentation of the circumstances that support your request (e.g.,
hospital receipt, obituary notice, doctor’s letter, police report, etc.)
A copy of your transcript printed from Raidernet
A copy of your current schedule
4. Return these documents and the completed LS Drop Application form to the
Learning Support Director, Mike Hill, in the Roane County Learning Support Lab.
Documents may be scanned and emailed to hillm@roanestate.edu.
*This form is to be submitted prior to the drop deadline. All information will be kept
confidential.
Learning Support Drop Application
Name ________________________________________________________________________
Last
First
Middle
Student R number:______________________ Date:________________________________
Telephone number: ______________________ Email: ______________________________
Semester: (circle one)
Fall
Spring
Summer
20____
Requesting a withdrawal from the following course(s):
ENGL 0891
MATH 0891
READ 0891
ENGL 0892
MATH 0892
READ 0892
I.
In the space provided, explain why you feel it necessary to drop the listed LS
course(s). Be as specific as possible. This information will be used in the
decision making process. You may attach additional explanation if necessary. If
you are withdrawing from the college, please provide a brief explanation of the
reason.
II.
In the space provided, list all the options that were given to you by your
instructor(s) and justification for why none will suffice in your situation.
III.
Obtain your instructor’s (s’) signature(s) to verify the information in II.
Instructor’s signature: ___________________________________ Date: _______________
Instructor’s signature: ___________________________________ Date: _______________
Instructor’s signature: ___________________________________ Date: _______________
IV.
Attach documentation of your circumstances, a copy of your schedule from
Raidernet, and a copy of your transcript from Raidernet to this form.
By signing below, you acknowledge that if you stay in your current LS course(s),
all of the completed work will carry over to the next semester. Your signature
also acknowledges that you feel that you will be unable to complete any
additional work this semester and would earn an F by remaining enrolled. You
also acknowledge that in order to register for future classes at Roane State, you
will need to retake this(these) Learning Support course(s).
Student’s signature: ___________________________________________ Date: ___________
Please send the completed form to Mike Hill (hillm@roanestate.edu) or through
campus mail to the Roane County campus. Call 865.882.4654 with any
questions.