The student should complete this form in consultation with his/her academic advisor.

 

I am requesting to: (Please check the box(es) which apply to your situation.)

Drop one or more classes but remain enrolled in at least one course (after late registration ends and before the last drop date)

Withdraw from all my classes before the end of the late registration period

Withdraw from all my classes after the end of late registration and before the last drop date

I am responsible for any remaining fees (library, lab, etc.) for the course(s) or tuition owed, based on the Texas Education Code refund schedule.

o Contact Student Financial Services at www.uta.edu/fees or 817/272-2172.

I am responsible to know if the academic program(s) in which I am majoring limit the number of attempts I can make toward a class.

o Review the UTA Catalog at http://www.uta.edu/catalog/

I understand I will be charged a $25 fee for dropping one or more classes.

I understand that dropping courses could affect the current amount of financial aid that I receive as well as future eligibility. In some cases, dropping a course could result in my being required to pay back financial aid already received.

o Contact the Office of Financial Aid and Scholarships at www.uta.edu/fao or 817/272-3561.

I understand I should contact University Parking at 817/272-3907 regarding parking permit refunds.

I understand that, if I am a residential student and/or have a meal plan, I may not be eligible for a refund of housing or dining costs.

o Contact Housing at www.uta.edu/housing or 817/272-2791.

Academic Issues (Please review the responsibilities and check to indicate your understanding of each.)

I understand that dropping or withdrawing may delay my admission into a major and may ultimately delay my timely graduation.

I understand that I will earn a grade of W or Q when dropping or withdrawing after Census Date.

I understand that a grade of W or Q counts as a course attempt toward excessive hours counts.

o Review excessive hours policies at http://www3.uta.edu/registrar/floating_45.asp

I understand that, if I entered a Texas public college or university for the first time in Fall 2007 or thereafter, I may drop only six courses during my undergraduate career.

o Review drop limit policies at http://www3.uta.edu/registrar/dropPolicy.asp

o Q grades do not count toward the six-course-drop-limit.

I understand that, if I am classified as an international student, I must carry a minimum course load as specified by the Office of International Education (http://www.uta.edu/oie/)

Other Notes (Please review the responsibilities and check to indicate your understanding of each.)

Return books for possible refund (http://www.bkstr.com/Home/10001-10645-1?demoKey=d)

Determine impact of dropping or withdrawing on your dependent status for the IRS and/or medical insurance