Pitzer College Office of the Registrar
WITHDRAW FROM COURSE FORM
STUDENT NAME: ______ ID #: _
(Print)
SEMESTER: (Check One): Fall Spring Summer Year: 20_______
COLLEGE: ______________________ COURSE TITLE: _______ _
COURSE ID #: SECTION #:
A student may withdraw from a course anytime before the final day of classes*, only if the student is
passing the course ("C" or above if the course is being taken Pass/No Credit, "D" or above for all
other courses), and only with the signed approval of the instructor and the faculty advisor. For these
approved withdrawals, the student's grade on the transcript will be a "W" and will not be calculated
into the GPA. A student may not withdraw from a course after the last day of classes (prior to finals).
Forms will not be accepted (without exception) in the Registrar’s Office once finals week has
begun.
* The deadline in the spring for graduating seniors is one week prior to the last day of classes. See academic calendar.
INSTRUCTOR COMMENTS:
PLEASE CHECK ONE: □ APPROVED □ DENIED
STUDENT SIGNATURE STUDENT NAME (Print) DATE
INSTRUCTOR SIGNATURE INSTRUCTOR NAME (Print) DATE
___________________________
ADVISER SIGNATURE ADVISER NAME (Print) DATE
THIS FORM MUST BE SIGNED AND DATED AND SUBMITTED TO THE REGISTRAR'S OFFICE
BY THE LAST DAY OF CLASSES (BEFORE FINALS BEGIN)* (see note above).
FOR OFFICE USE ONLY
DATE PROCESSED INITIALS
s:/forms/web/withdraw form.doc Revised8/08
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