MARQUETTE UNIVERSITY GRADUATE SCHOOL
REQUEST FOR TEMPORARY WITHDRAWAL FROM GRADUATE PROGRAM
STUDENT INFORMATION
Name:
I am currently receiving an assistantship / scholarship / fellowship from Marquette University's Graduate School:
Degree:Program:
MUID:
This form is to be used by graduate students requesting a temporary withdrawal from their graduate studies. Students are urged to be extremely cautious in
requesting a temporary withdrawal. During the withdrawal period, students become inactive and will not have enrollment status for purposes of health
insurance and loan deferment, nor will they have access to campus libraries, computer services and recreational centers.
The time taken during an approved temporary withdrawal will not be included as part of the student's six years to completion for their master's or eight years
to completion for their doctoral programs. If the student received loans that are being deferred, the student will lose deferment status while withdrawn.
There is no guarantee that a request will be granted. A temporary withdrawal cannot be approved retroactively.
If the student wants to be considered for tuition scholarships or graduate assistantships upon their return, it is the student's responsibility to apply for financial
aid by the appropriate competition deadline. Original signatures are required. If you need assistance completing this form, please contact the Graduate School
at 414-288-7137.
Adviser:
Dates requested for temporary withdrawal: From: To:
Yes No
Student Signature:
Date:
Please use
this space to
explain why
a temporary
withdrawal
is being
requested:
DEPARTMENTAL AND GRADUATE SCHOOL APPROVAL
Yes
Do you approve the student's request for a temporary withdrawal?
No
Adviser Signature:
Date:
DGS or Chair Signature:
Date:
Graduate School Signature:
Date:
PLEASE FORWARD COMPLETED FORM TO THE GRADUATE SCHOOL
Yes No
Yes No
Revised 10/15
