Saint Louis University - Madrid Campus
Petition to Withdraw from Course(s)
After the Late Registration Period
Form
#8
Section 3
Justification
State in clear, concise sentences why the course withdrawal(s) are being requested.
Section 2
Course Information
Semester (fall/spring/summer and year)
Course(s) to withdraw from:
CRN or
Course Subject, Number and Section
Course Title
Credit
Hours
Ex. BIOL-104-01
Principles of Biology I
3
This Petition cannot be used for a full semester withdrawal (i.e., dropping all courses);
please complete the Petition for Semester Withdrawal.
Section 1
Student
Student Email
Primary Program/Major
Student ID
Student Phone #
Total Earned Hours
Registrar's Office - Padre Arrupe Hall, 1st Floor
Avenida del Valle 34, 28003 Madrid 91.554.5858
http://slu.edu/madrid
I understand and acknowledge that:
By withdrawing from course(s) after the late registration period, but prior to the last day to
drop with a “W”, a grade of “W” will be assigned to the student’s academic transcript.
It is the student’
s responsibility to notify the appropriate individuals in their academic
department regarding this course withdrawal.
Withdrawing from this course may delay the completion of a student’s academic program
and result in a later graduation date.
Withdrawing from a course may affect the following (e.g., full-time/part-time status)
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.
Graduate Assistantships - Students receiving a graduate assistantship should consult
with their academic department concerning eligibility.
Visa Status - International students must consult with the Office of International Services
concerning conditions of their student visas.
Student Signature
Date
Section 4
Acknowledgements
1. Student completes sections 1, 2 and 3.
2. Student acknowledges policies related to withdrawing from classes by signing in section 4.
3. Student meets with Advisor (Undergraduate) or Department (Graduate) to discuss petition and
receives approval via signature in section 5.
4. Student submits approved petition to the Office of the University Registrar.
5. Office of the University Registrar withdraws student from the course(s).
Form Procedures
Section 5
Approval
Advisor/Department Name Signature
Date
Form
#8
Registrar's Office - Padre Arrupe Hall, 1st Floor
Avenida del Valle 34, 28003 Madrid 91.554.5858
http://slu.edu/madrid
Saint Louis University - Madrid Campus
Petition to Withdraw from Course(s)
After the Late Registration Period
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