Submitted Sunday, February 5, 2023 

Important: Please read the information below before completing the form.

Are you currently using VA benefits?  Please note that you must notify your School Certifying Official (SCO) immediately of any change to your schedule. Dropping or auditing courses may result in a debt with the VA. Chapter 31 (VRE) students must notify their VRE Counselor of any plans to drop or audit a course prior to completing this form.

Do you receive any grants, scholarships, or loans? (See Financial Aid. Please note that audited classes do not count toward your credit load for your financial aid awards. If you are an undergraduate student and must be full-time (12 or more credit hours) or half-time (6 credit hours), do not drop your course load below those required credits.)

Are you sponsored by an employer or another third party? (Please be aware that schedule adjustments may need to be documented and/ or approved with your sponsor.)

Degree Level:

Semester:

Year:

First Name:

Last Name:

Student ID:

Daytime Phone Number:

Email Address:

Total Credit Hours

Example: Decreased from 16 credits to 12 credits

Decreased from:

To:

- OR -

Increased from:

To:

- OR -

No change in credit hours:

Schedule Changes

COURSE 1

Course Number, Section and Title (Example EN 101 D01 English Composition):

Change:

COURSE 2

Course Number, Section and Title:

Change:

COURSE 3

Course Number, Section and Title:

Change:

COURSE 4

Course Number, Section and Title:

Change:

COURSE 5

Course Number, Section and Title:

Change:

COURSE 6

Course Number, Section and Title:

Change:

Reason for Change in Schedule:

I understand that I am financially and academically responsible for all schedule adjustments. I have sought any appropriate advice from my sponsor, the Financial Aid Office, VA School Certifying Official, and my academic advisor. Initial here: