WITHDRAWAL FORM
Use this form to withdraw from a course after the drop/add period and BEFORE the
withdrawal deadline.
To withdraw from a course after the withdrawal deadline, use the Petition form.
For withdrawal deadlines, see the Academic Calendar.
___________________________
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WesID
Last Name
First Name
Class Year
_____________________________________________
Student’s Signature Are you an F1Visa Holder? Yes or No
_________________________________________
Faculty Advisor’s Signature mm/dd/yy
UNDERGRADUATE STUDENTS
_________________________________________
Class Deans Signature mm/dd/yy
GRADUATE STUDENTS
______
_______________________________________
Graduate Student Services Signature mm/dd/yy
SEMESTER
Course Subject
Instructor’s Printed Name, WesID, and Signature
Date (mm/dd/yy)
Semester:
Fall ______
Spring _____
1
2
3
4
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