P:\Shared\Registrar\Forms\StudentForms\WithdrawalForm.doc09/28/2017
Course Withdrawal Form
RamapoCollegeofNJ
OfficeoftheRegistrar
505RamapoValleyRoad
Mahwah,NJ07430
Phone:201‐684‐7695Fax:201‐684‐7956
Email:reg@ramapo.edu
UseThisFormToWithdrawFromAnIndividualCourse
(PleasePrint)
Fall20____ Winter20____Spring20_____Summer20____
StudentIDNumber: R________________________________
StudentName: _________________________________
RamapoE‐MailAddress: __________________________________
CRN:___________________________________
Title: ____________________________________________Credit:___________
Subject CourseNumber SectionNumberGrade
__W___
Signature:Date:
***Thisformwillnotbeacceptedafterthelastdaypostedonthe
AcademicCalendar.***
Studentsareencouragedtodiscussthiswithdrawalwiththeirfacultymember.
Ifyouarereceivingfinancialaidorloans, youshouldcheckwiththeFinancial
Aidofficepriortowithdrawingasyourfinancialaidstatusmaychange.
OfficeUseOnly
DateReceived:______________ DateRecorded:___________________
AcceptedBy:________________ RecordedBy:_____________________
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