J-Term and Summer Course Withdrawal Form

Instructions: Graduate and part-time students may use this form to withdraw from courses (grade of "W"). Please refer to the academic calendar for the course withdrawal deadline; as well as the Refund Policy.

Use your mouse or TAB key to go from entry field to entry field
DO NOT hit Enter or Return after each entry field as this will submit the form prematurely
Verify all information is correct before submitting.

Term ⚠ Please enter Term

Status

Part-Time

Graduate

⚠ Select your Status

Date ⚠

Student ID ⚠

First Name ⚠ Please enter first name

Last Name ⚠ Please enter last name

Email Address ⚠ Please enter email address

Mailing Address ⚠

City ⚠ Please enter city

State ⚠

Country ⚠ Enter Country

Zip ⚠ Please enter zip code

Phone (Home) ⚠ Please enter phone number

Phone (Cell) ⚠ Please enter phone number

List Course Code and Section for All Courses You Wish to Withdraw From ⚠ This field is required

Reasons for Dropping Course(s) ⚠

Financial Aid

Yes

⚠ Please Select

Bank Loan

Yes

⚠ Please Select

Returning next Semester

Yes

⚠ Please Select

Security Code Enter Security Code: 86122 ⚠ Enter Security Code

Note 1: Please refer to the Bursar site for refund policies.
Note 2: Please verify that all information is correct and enter the security code. Once you click the "Submit Form" below, this form will be automatically sent to the Office of the Registrar and the Office of the Bursar for processing.

Please verify all information is correct, then click the button below.