Course Withdrawal by Instructor

Course Withdrawal by Instructor

_{Note: The 5-digit CRN and student R#s may be found in Banner using “Summary Class List”.}

_{Student RBC emails can be found in Banner using the “Student Information” menu.}

Course Term*

Instructor Name*

First Name

Last Name

Subject*

Course #*

CRN (5 digits)

Student Name

First Name

Middle Name (optional)

Last Name

Suffix (optional)

Student R Number*

Student RBC Email*

Last date the student attended this course*

Instructor Email*

Confirm Instructor Email *

Today's Date*

Please indicate why you are dropping this student:*

Instructor Signature: "I certify by signing and submitting this form that the reason for which I am dropping the student is for non-attendance or for a reason described in my syllabus.”*

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Use your mouse or finger to draw your signature above