Student Drop Form

Name 	

The deadlines to drop classes are posted on the WEB, in the class schedule, and on the Student Class Program (Web
Schedule Bill).
For convenience, students are encouraged to drop using their MyCCC.

If you are not able to drop by logging in to your MyCCC, you may do so by mail. Withdrawal requests submitted by mail must be postmarked by the appropriate stated deadlines.  Students are responsible for verifying that their withdrawal has been received in the Admissions Office by the deadline in order to avoid fee obligation and grade penalties.

DROPS ONLY
Please provide the information requested below.  Drop forms received without student signature will not be processed.

CRN	Course Title	CRN	Course Title

SIGNATURE OF STUDENT 	

Date 	

Mail to:
Coastline Community College, Admissions & Records Office, 11460 Warner Avenue, Fountain Valley, CA 92708

Or
FAX:
714.241.6288
If faxing, make sure you print and save a copy of the “sent confirmation” from your fax machine.