Mott Community College
For Admission use only:
Dual Enrolled/Early Admit Course(s)
Drop Worksheet
Birthdate M M
Print: Last Name
Semester or Session
(check one)
M.I.
First
D
D
Y
Y Y
Y
Student I.D. #
Street Address:
Summer (1)
Winter (3)
Fall (2)
Spring (4)
Phone:
City, State, Zip:
By dropping this/these course(s), I am entering into a financial obligation, which includes
nonrefundable fees. If my school district does not pay for these fees, my parent/legal guardian will
assume this cost.
Student Signature:
IT IS YOUR RESPONSIBILITY TO CHECK THE ACCURACY OF YOUR SCHEDULE
Check
to
Drop
SECTION CODE
SOCY
(accuracy essential)
9
1
High School Counselor's Signature Required.
01
Course Title
Intro Sociology
GEN
ED.
SOC
Credit Contact
Bldg
Hour
Hour Time M T W R F S U &Room
3
3
Total
Credit
Total
Contact
8:00 am
9:25 am
X
X
Instructor's Signature
(if required)
MMB 2106
Parent's Signature Required.
04/13/2010