Withdrawal From All Courses and/or the University
Purpose: Used by students to withdraw from the current term and/or who are not returning to the University for the next term.
Student Instructions
1. Complete Section 1 of this form using a computer.
a. a handwritten form will not be accepted.
b. an incomplete form will not be processed and returned to you for completion.
2. Print the form using the 'Print Form' button.
3. Sign the form in Section 2; a digital signature is not acceptable.
4. Follow the steps in Section 3: Required Signatures.
Notes
a. If you are not currently on campus, follow student instructions 1-3, then fax or scan the form to your college/school office.
b. Drop all future enrollment for terms in which you do not plan attend in CheckMarq.
c. Contact the Office of Residence Life (if applicable) and Marquette Central.
d. Tuition refunds will be processed according to the University Withdrawal Schedule.
Signature of Student
Date
Rev. 2/2017
Permanent Email
MUID
College or School
Employment
Family
Academic (explain)
Rank in order the reasons for Transfer/Withdrawal, with your primary reason as #1; rank as many reasons that apply.
Military Call Up
remember to provide Marquette
Central with a copy of your deployment
order
Personal
Other (explain)
STEP 1. Take this form to the college/school in which you are enrolled.
NOTE: College/School: After you sign the form, scan to the Registrar via ImageNow IMMEDIATELY
Signature of College/School Representative
STEP 2. If you are living in a residence hall, take this form to the Office of Residence Life, Carpenter Tower, 203.
NOTE: This signature indicates contact, not clearance, pending check of residence and outstanding debts
Signature
FINAL STEP. Take this form to Marquette Central, Zilber Hall, 121 for processing.
Signature
STEP 3. If requested by your college/school, take this form to
person or office designated by the College/School (e.g., Honors Program, ROTC, College/School Records Office, etc.)
Fall
Spring
Summer
Request withdrawal at the end of the term
I intend to return to the University
STEP 4. If you are an NCAA Division I athlete, take this form to the Associate Athletics Director for Academic Services.
Section 3: Required Signatures
Section 1: Student Information
Do you intend to transfer to another institution?
No
Yes
Financial (explain)
Section 2: Signature of Student
I request withdrawal as indicated above and I understand the consequences of that withdrawal, including a withdrawal grade notated on my transcript.
Date
Yes
No
Date
Date
Date
Signature
Date
Signature
Mailing Address
street, city, state, zip code
Term of Withdrawal:
Check One:
Request immediate withdrawal
Check One:
I do not intend to return to the University
Health
Name
Last name, First name, Middle name
Grade
Date of last attendance
Denied
Approved
Rank
Rank
Rank
Phone
