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OFFICE OF ADMISSIONS & RECORDS PITT COMMUNITY COLLEGE (Pitt Community College)

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OFFICE OF ADMISSIONS & RECORDS
PITT COMMUNITY COLLEGE
REQUEST FOR OW AFTER END OF SEMESTER
Name______________________________ ID NO.____________________________
Address____________________________ Phone – Home_____________________
____________________________ Work_____________________
Semester(s) of Unofficial Withdrawal_________________
*Only ‘W’ grades are eligible to be changed to ‘OW’ grades
*No additional documentation is required
Please explain the circumstances surrounding your unofficial withdrawal. Use back of this
form if more space is required.
______________________________________________________________________________
Your request will be reviewed by the Asst. Registrar. You will be notified of the decision by
email (your My.PittCC email) or mail.
FOR OFFICE USE ONLY
App/Den Date Changed Correspondence
________ ____________ ______________
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Completed 1 October 2020

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