Form
#9
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Please indicate the main reason you are leaving Saint Louis University.
Section 3
Withdrawal Reasons
Section 5
Plans
Section 2
Withdrawal
Semester (fall/spring/summer and year)
This petition is used for a complete withdrawal; if not completely withdrawing submit the
Petition to Withdraw from Course After the Late Registration Period
Please check if you do not intend to return to Saint Louis University
Section 1
Student
Student Name
Student Email
Primary Program/Major
Student ID
Student Phone #Total Earned Hours
If Yes, what institution?
Will you be transferring to another institution?
Yes
No
Other
If No, what do you plan to do?
If you checked you do not intend to return to Saint Louis University
Academic Reasons
Financial Reasons
Social and campus life
Personal health issues
Personal reasons other than health
Please elaborate on the main reason you are leaving Saint Louis University.
Section 4
Details
Registrar's Office - Padre Arrupe Hall, 1st Floor
Avenida del Valle 34, 28003 Madrid 91.554.5858
http://slu.edu/madrid
Saint Louis University0DGULG&DPSXV
Petition for
Complete Withdrawal
I understand and acknowledge that:
By completing this petition students are authorizing the Office of the University Registrar to
drop all enrolled courses for the semester identified on this petition,!
By checking “Please check if you do not intend to return to Saint Louis University” students
are authorizing the Office of the University Registrar to close their student record and drop
all enrolled courses for future semesters,!
By dropping course(s) after the late registration period a grade of “W” will be assigned to the
student’s academic transcript,!
Students leaving Saint Louis University to attend another institution, excluding summer
terms, are not eligible for a Leave of Absence and must re-apply to Saint Louis University.!
A semester withdrawal will affect the following:!
Scholarship/Financial Aid - Students receiving any scholarships or financial aid should
consult with their Student Financial Services counselor,!
Tuition Charges - Students should reference the Refund and Drop calendar found on the
Office of the University Registrar’s website at registrar.slu.edu,!
Visa Status - International students must consult with the Office of International Services
concerning conditions of their student visas,!
Housing - Students residing in on-campus housing should consult with Housing &
Residence Life,!
Parking - Students with on-campus parking should consult with Parking and Card
Services.
Student Signature
Date
Section 6
Acknowledgements
Form Procedures
Form
#9
Saint Louis University0DGULG&DPSXV
Petition for
Complete Withdrawal
Registrar's Office - Padre Arrupe Hall, 1st Floor
Avenida del Valle 34, 28003 Madrid 91.554.5858
http://slu.edu/madrid
click to sign
signature
click to edit