Withdrawal Form

(dropping to zero credits)

Students need to complete this form if they withdraw from all classes during any semester. Failure to do so may result in failures (F’s) being recorded for all courses in which they are enrolled. The withdrawal date posted on the student’s record and all refunds will be based on the date the initial form was received in the Student Services Office.

By typing in your full name in the signature field, you agree to the following: I recognize that after the date shown on this form, I am not entitled to student privileges. I accept all academic and financial consequences resulting from this withdrawal. I understand I will forfeit the grades from any courses that have completed already, and that I am subject to charges and refunds according to State Board of Higher Education policy. I understand that withdrawing may have an impact on future financial aid eligibility.

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