CALIFORNIA STATE UNIVERSITY, SACRAMENTO
SPRING 2020 SEMESTER - WITHDRAWAL PETITION
March 9th - May 8th
INSTRUCTIONS
To withdraw from ALL of your Spring Semester 2020 classes.
It is the student’s responsibility to notify their instructor(s) that they have dropped the course and are no longer
participating in the class.
SUBMISSION: Return the completed form via email as an attachment to registrar@csus.edu must be sent from
your My Sac State email account. To submit the document in-person, use the drop-off box located to the left-hand
side of Lassen Hall 1000.
DEADLINES: After the census date, February 17, 2020, students may petition to withdraw through May 8, 2020. A
grade of “W” is recorded on the student’s transcript. The “W” grade for courses dropped March 9 through May 8,
2020 will not be included in the maximum 18 units of “W” grades allowed within your undergraduate academic
career. It is not possible to withdraw after the last day of instruction, Friday, May 8, 2020.
REFUNDS: No refunds are given for withdrawals after March 26, 2020.
FINANCIAL AID: If you are receiving financial aid, it is important contact the Student Service Center and discuss
your file with a counselor and the impacts of your withdrawal. Visit the Student Service Center online at
www.csus.edu/ssc for office hours.
QUESTIONS: Contact the University Registrar at 6000 J Street, Sacramento, Ca 95819. Located in Lassen Hall 2000.
Office hours: Monday to Friday from 8am to 5pm, Phone: 916.278.1000 (option #4), by email at
registrar@csus.edu
SPRING 2020 WITHDRAWAL FROM ALL CLASSES
NAME: SAC STATE ID #
PHONE #: EMAIL ADDRESS:
MAJOR: CLASS LEVEL:
STATE ONE/TWO SENTENCES YOUR REASON(S) FOR WITHDRAWING:
I request to withdraw from ALL of my spring 2020 courses and acknowledge the conditions to my record:
*YOUR SIGNATURE
DATE
THIS SECTION IS FOR STAFF USE ONLY
ACADEMIC STANDING
PRIMARY REASON
FOR WITHDRAWING
IF EOP, EOP COUNSELOR SIGNATURE
TOTAL # OF W’S
(INCLUDING THIS SEMESTER)
STUDENT SERVICE CENTER (SSC) SIGNATURE: DATE SIGNED
DATE FORM RECEIVED: DATE FORM INPUTED:
Statement for withdrawing:
*Documents sent from SacLink account will be accepted in place of signature.
Note: It is the student’s responsibility to notify their instructor(s) that they have dropped the course and
are no longer participating in the class.
SUBMISSION
Return the completed form via email as an attachment to registrar@csus.edu –must be sent from your My
Sac State email account. To submit the document in-person, use the drop-off box located to the left-hand
side of Lassen Hall 1000.
I am withdrawing because...
Freshman
Financial Reasons
click to sign
signature
click to edit
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