Degree Student Course(s)/Semester Withdrawal Form

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Please fill out this form if you wish to withdraw from one or more courses (not all courses) OR if you wish to withdraw from the semester (all courses).

Withdrawal requests will not be accepted after Week 8 of the semester.

Note: If you are withdrawing for medical reasons, please fill out the Medical Withdrawal Form.

Last Name:

First Name:

Student ID:

Email:

Program:

Type of Withdrawal:

If you are enrolled in ONLY ONE course this semester, please select 'Semester' (withdraw from ALL courses)

For a course(s) withdrawal, list which course(s):

If you are withdrawing from all of your semester courses, please select 'Semester' Withdrawal (withdraw from ALL courses) above.

Course Code:

Course Title:

If you plan to enroll again at a future date, enter the semester you would like to return. (Example: Summer 2024):

Fall

Enter year

Winter

Enter year

Spring

Enter year

Summer

Enter year

Check if applicable:

I am receiving some form of financial aid such as Stafford Loans, Pell Grants, Private Loans, etc. I understand that withdrawing will affect my financial aid. I also understand that I must maintain satisfactory academic progress in order to receive financial aid.I am using Veteran’s Benefits. I understand that withdrawing or reducing my credits will affect what I receive from the VA.

I understand that I am financially responsible for the tuition and fees charged, and that the
withdrawal I have requested will not result in a tuition refund.
Note: Any student who has borrowed under the Federal Direct Loan Program, is required to complete online federal Exit Counseling. This is an electronic form that can be completed at https://studentaid.gov/exit-counseling/.

Decision:

Date Processed:

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