University Registrar’s Office
Phone: 412-268-8186
CMURegistrar@andrew.cmu.edu
www.cmu.edu/hub
Course Withdrawal Request
Current Semester
This form is for students requesting to withdraw from a course after the drop period, with a “W” (withdrawal) grade assigned. The purpose is to solicit advisor
conversation and recommendations, while ensuring that students remain enrolled in at least 36 other units. [Note: Graduate students in Heinz College may not
use this form per Heinz College academic policy.]
Undergraduate and graduate students who wish to withdraw from a course after the drop deadline must complete a Course Withdrawal Request form and must
obtain their academic advisor’s signature. The advisor will indicate whether they “endorse” or “not endorse” the withdrawal from the course on the petition, then
sign and forward the petition to the University Registrar’s Ofce. The “W” grade will appear on the student’s academic record, whether the advisor endorses or does
not endorse the withdrawal.
STUDENT INFORMATION
Student Andrew ID:
Student Name:
College: Department: Class:
Semester (check one): Fall Spring Summer-All Summer-1 Summer-2 Year
COURSE INFORMATION
I wish to withdraw from the following course:
Course # Section Units
Reasons for Course Withdrawal:
I will remain enrolled in at least 36 other units.
Student Signature: Date:
SIGNATURES & COMMENTS
Advisor Recommendation
The student is withdrawing from this course and remains enrolled in 36 other units:
with my endorsement without my endorsement
Comments:
Advisor Name: Date:
course-withdrawal 6/19
Last/Family, First and/or Preferred, MI
1-5, 10, 20
Print/Type
Signature
University Registrar’s Ofce Use Only
Processed by: Date: Remains enrolled in 36 other units
mm/dd/yyyy
mm/dd/yyyy
