Online Withdrawal Request
  1. ATTENTION: This form should be used to drop online sections only. Other courses must be dropped on campus.
  2. First Name(*)
    First Name required.
  3. Middle Name
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  4. Last Name(*)
    Last Name required.
  5. ECC Student ID(*)
    (7 Digit Student ID - Do NOT use your SSN)
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  6. Birth Date(*)
    (in form of MM/DD)
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  7. Home Address
    Please let us know your message.
  8. Your Email(*)
    (MyEdge Email Address)
    Request will fail if email address is not given!
  9. Phone(*)
    (including area code)
    This number may be called to verify request, it is required.
  10. Best time to call
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  11. List the Courses You Wish to Withdraw From
    Course Prefix
    (ex: ENG)
    Number
    (ex: 111)
    Section
    (ex: OL1)
    Course Title
    Instructor Name
    Ever Attended?
  12. At least one course listing is required for this form.
    At least one course listing is required for this form.
    At least one course listing is required for this form.
    At least one course listing is required for this form.
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  16. Reason for Request
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  17. Your Program of Study
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  18. Name of your advisor
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  19. Please enter the captcha phrase. If you cannot read the phrase, click on the refresh button below the captcha for a new set of characters.
    Please enter the captcha phrase. If you cannot read the phrase, click on the refresh button below the captcha for a new set of characters.
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