WWU Withdrawal Form
Step 1:
Name:
ID# :
Date:
Last First
Fall / Winter / Spring / Summer
(year)
I
wish to Drop All Classes for the following reason(s):
Step 2:
I understand that, depending on when I drop classes, I may receive a partial or no refund of tuition.
Student’s Signature
Step 3:
Obtain one of the signatures below and leave the form with the WWU representative:
Registrar (CTC 311)
Date
Academic Advisement Director (CTC 311)
Date
Assoc VP Academic Administration (ADM 336)
Date
Asst VP/Dean of Students (Kellogg 107)
Date
Office Use Only
Financial Counselor (CTC 307)
Date
Refund Percentage:
Data Entry Person
Date Received
Total Credits Withdrawn
This is a fillable form. Please complete, print,
sign and return to any office in Step 3