PRINT
NAME
FURMAN
STUDENT ID
UNIVERSITY WITHDRAWAL REQUEST
Iintendtopermanentlydis continuemyenrollmentatFurmanUniversity.
STUDENT SIGNATURE
EFFECTIVE DATE
Studentsattemptingtoreturntotheuniversityafterawithdrawalhasbeenexecutedforyoumustapplyforreadmission
throughaprocesscoordinatedbytheAssociateAcademicDean.Ifyouintendtodeparttheuniversityonlyonatemporary
basisandreturntostudiesatFurmaninthefuture,you
shouldlearnmoreaboutourLeaveofAbsencepolicy.
WithdrawalsrequestedduringanacademictermmustbeapprovedbytheAssociateAcademicDean.
WITHDRAWALCHECKLIST
Studentsintendingtopermanentlydiscontinueenrollmentattheuniversityshouldcompleteallofthefollowingstepsto
ensurethatyourexitfromtheuniversityisfullysanctioned.
ReviewtheRefundPolicystatementintheuniversitycatalogandconsultwithFinancialAidtodeterminethe
implicationsofyourwithdrawalon
futurefinancialaidawards.
ReviewtheWithdrawalfromtheUniversityandTranscriptofStudentRecordsstatementsintheuniversitycatalog.
ConsultwiththeStudentBusinessCentertoensureyoudon’thaveanoutstandingfinancialobligationtothe
university.
NotifyHousingandResidenceLifeandimmediatelyvacateyourcampushousingassignment.Followestablishedcheck
outprocedureswhichincludesremovingallpersonalbelongings,thoroughlycleaningyourlivingspaceandreturning
roomkeys.
Completetheonlineexitinterviewathttp://www.surveymonkey.com/s/75PLBGG,sothatweknowmoreaboutyour
Furmanexperience,bothgoodandbad.
NOTIFICATIONS
TO BE COMPLETED BY
THE REGISTRAR’S OFFICE
EFFECTIVE WITHDRAWAL DATE:
IET PROCESSING DATE AND TIME:
CLEAR FORM AND START OVER!