Drop Course Form

Drop Course Form
Stop Before you DROP!

Please note that this form must be completed before the Drop Deadline for the term. Withdraws made after the deadline may not be processed.

Financial Aid - Dropping courses can affect your Satisfactory Academic Progress Status and your eligibility for financial aid. If you drop a course, you will receive a grade of “W.” This grade counts in the “attempted hours” versus “earned hours” that the Satisfactory Academic Progress Policy uses in calculating your status in determining financial aid eligibility. Please review“Keeping Your Aid” on the Financial Aid homepage. Dropping below full-time status could affect NCAA athletic eligibility, visa status, veteran benefits, or Tennessee HOPE Scholarship. If you drop to part-time status (under 12 hours) without obtaining prior permission from the Institutional Review Panel, you will lose the HOPE Scholarship, and you cannot get it back.

PLEASE NOTE: This form will electronically go to your advisor and instructor for approval. This course cannot be dropped until the advisor and instructor have approved.
Student Name*

First NameLast Name
Student L#*
Your Student Email*
example@mail.lipscomb.edu
Advisor Name*

First NameLast Name
Advisor Email*
fistname.lastname@lipscomb.edu
Course for withdraw
Course Number & Section*
Example: PS 1113-01
Course Name*
Example: Intro to Psychology
Semester
Year
Example: 2025
Name of Instructor*

First NameLast Name
Email of Intstructor*
example@lipscomb.edu
Reason for Withdraw (please mark all that apply):

Struggling AcademicallyHealth/Mental Health ConcernWork/Time Management ConflictsCourse no longer needed for my majorPersonal IssueCourse content not as expectedTeaching style not a good fitOther
If Other Please explain:
Semester hours remaining after withdrawal from course listed above (may affect financial aid)
Check all that apply

I am a NCAA student athlete.I am an international student with a Visa.I am currently receiving VA benefits.
When a financial aid recipient withdraws from a course, the federal government can require some of your student aid, including loans and Pell grants, to be returned. Please note this can create a balance due on your student account that must be repaid immediately. If you receive a refund after withdrawing, be prepared to repay up to that full amount for up to 30 days. Confirming your intent to return to attend your next scheduled class may help you avoid this outcome. (Signature Acknowledgment required below.)
Student Signature*

Clear
Should be Empty:

Drop Course Form

Course for withdraw