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Partner, Law Offices of Frank L. Branson, PC
Skip Navigation LinksDepartments & Services > Registrar > Forms > Request to Withdraw from Course

Request to Withdraw from Course

Complete this form, print it out, and have it approved by the Professor who is teaching the course that you are withdrawing from. After it is signed, return the form to the Registrar's Office. A grade of "W" will appear on your transcript after the drop has been processed. First year students must also receive permission from the Assistant Dean of Student Affairs in order to withdraw from classes.

Name:

Student ID#:

Phone number:

Year in school (Presently):

Currently enrolled for credit hours

Course from which you wish to withdraw:

Semester from which you are withdrawing:

Professor teaching this course:

Reason for withdrawing (please be specific and write in complete sentences):


Student's Signature


Date

Professor: Please approve or deny the withdrawal.

Approved: _______ Denied: _______


Professor's Signature


Printed Name



Date

For withdrawal from a first year required course: Must obtain approval from Assistant Dean of Student Affairs, in addition to Professor.

Assistant Dean: Please approve or deny the withdrawal.

Approved: ________ Denied: ________



Assistant Dean of Student Affair's Signature



Printed Name



Date