wf First Name * wf Last Name wf Phone Number * wf Student ID * wf Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year wf I request a change for * Select a SemesterFallSpringSummer wf 1. * wf Add or DropAddDrop wf 2. wf Add or DropAddDrop wf 3. wf Add or DropAddDrop wf 4. wf Add or DropAddDrop wf E-mail * wf Signature * By checking the box, you are assuring that all information is true and correct. Course Prefix & Number (ex. HIS 2213) Add or Drop
