International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
MEDICAL REDUCED COURSE LOAD OR
WITHDRAWAL
Reducing Enrollment for Health Reasons
Students may drop below full-time for physical or mental health
reasons. UWG Health Services, a licensed medical doctor, or a
licensed clinical psychologist must recommend the reduced
enrollment. Students will need to get a signature from the medical
profe
ssional verifying the recommendation for reduced
enrollment.
Withdrawal from UWG for Health Reasons
Only students who are approved by the ISAP office after review
of a medical professional’s recommendation will be allowed to
withdrawal. Students are approved for only one semester of
medical leave for visa purposes.
SECTION 1: STUDENT INFORMATION
Student’s Family
Name (Last Name)
Student’s Given
Name (First Name)
Date of Birth
UWG Student ID
917
Phone Number
SEVIS ID Number
N000
Email Address
Current Visa Status
F-1 Student J-1 Student Other Visa Type: Specify _______
SECTION 2: PROGRAM INFORMATION
Level of Study
Bachelors Masters PhD Certificate
First Semester at
UWG
Fall
Spring
Summer
YEAR: ________________
Semester of
requested Reduced
Enrollment
Fall
Spring
Summer
YEAR: ________________
Major
Expected Program
Completion Date
Statement of Understanding
I understand that a medical reduced course load or withdrawal is approved only for one semester. I understand that I must take the
necessary steps to continue my status if I need further reduced course loads or withdrawals.
Student’s Signature: ___________________________________________________________________ Date: ________________
