Class Withdrawal Form

CLASS WITHDRAWAL FORM

This form should only be completed after Add/Drop period ends and before the semester/term course withdrawal/pass deadline.

See Academic Calendar for withdrawal date deadlines.

Name*

First Name

Middle Name (optional)

Last Name

Student ID#*

Student's Email*

Are you a day student living off campus?*

Do you work on campus as a crew member on the Work Crew?*

Course Information

Course number you are withdrawing from:*

Enter course number (i.e. EDU XXXX 100)

Title of class you are withdrawing from: *

(i.e. Intro to Cultural Anthropology)

Instructor Name*

First Name

Last Name

Instructor Email*

Confirm Instructor Email *

Including courses from which you are withdrawing, how many credit hours are you registered for in the current semester?*

What is the last date you attended class?*

Advisor(s) Information

Current Advisor Name*

First Name

Last Name

Current Advisor Email*

Confirm Current Advisor Email *

Acknowledgement

The credit for any withdrawn course is included as hours attempted in the course load for the semester. This course will be recorded as a W or WF and will remain on the permanent record. For any attempted credits over 18 semester hours, there will be an over hour tuition charge. For full details, please review the Withdrawing from a Course policy found in Academic Policies and Regulations section of the College Catalog.

THIS WITHDRAWAL IS NOT OFFICIAL UNTIL IT IS APPROVED BY YOUR ADVISOR AND APPROVAL SUBMITTED TO THE REGISTRAR'S OFFICE.

I agree to the above statement.*

I agree

Student Signature

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Use your mouse or finger to draw your signature above