Coastline Community College

Military PocketEd Drop Form

Coastline Community College
Coastline Community College

DROP POLICY:

  • In order to drop a course and receive a full refund, the student must submit a Drop Request no later than the 9th day from the start of the course and return the PDA device and SD card within 14 days of submitting the drop request.
  • If a drop request is received but the PDA is not returned within 14 days, an obligation in the amount of $256.00 shall be posted to the student’s record at Coastline. Further, this obligation will place a hold on registration, transcripts and grade requests until receipt of the PDA and SD card.
  • No transcript entry will be made for students who submit their drop request prior to the 25th day from the start of the course. However, no refund will apply.
  • A grade of “W” shall be entered on the transcript for students who submit their drop request after the 25th day and prior to the 63rd day from the start of the course.
  • Failure to drop prior to the 63rd day may result in the instructor issuing a grade of “F”.

Select month of class start date. Do not use this form to drop a course after the session has ended.

February
March
April
May
June
July
August
September
October
November

First Name      
Last Name:      
Birthday: (e.g. mm/dd/yyyy)    
Student ID#: (e.g. 00012222) -OR- SSN:
Day Phone # :( )   Evening Phone #: ( )
E-mail:      

Enter course(s) you wish to drop. Please note that the date in which you submit this request is the date utilized in determining which the refund/withdrawal policy shall apply.
Course Name

Reason for drop:

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Navy

 

Submariner Graduates

 

 

 

 

 

Coastline Community College

Coastline Community College

Coastline Community College

Coastline Community College
Military Programs

11460 Warner Ave, Fountain Valley, CA 92708-2597
Toll Free Phone: 1-866-4cccmil
Fax: 1-714-241-6324
Web site homepage: http://military.coastline.edu