Fillable Waiving Co-Requisite Withdrawal Form Summer 20 (New York University)

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Waiving Co-Requisite Withdrawal Form Summer 20 (New York University)

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The Waiving Co-Requisite Withdrawal Form Summer 20 (New York University) form is 1 page long and contains:

  • 2 signatures
  • 3 check-boxes
  • 36 other fields

Country of origin: US
File type: PDF

U.S.A. forms for New York University

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Summer 20
____ Winter 20____
Term: Fall 20____ Spring 20____
Last Name:______________________________
First Name:_____________________________
Univ. ID #: N___________________________
NetID:_________________________________
Degree/Major:_______________________________
Advisor:______________________________________
Career (
check all that apply): Non-Matric Undergraduate Graduate
I WISH TO BE WITHDRAWN FROM THE FOLLOWING COURSES:
Class #
Subj
Code
Catalog # Credits
If a co-requisite is blocking
withdrawal, write the dependent
co-requisite course(s) below.
Required approval signature from
department requiring the dependent
co-requisite(s).
Are you withdrawing from all enrolled courses?: YES No
REQUIRED APPROVAL:
Major Adv
isor Signature: _____________________________________________________ Date: __________________
Notice of Responsibility: I hereby accept financial responsibility for all charges (including coll
ection fees) in connection with the
above schedule adjustments according to the University refund/liability schedule. I acknowledge that it is my responsibility to
familiarize myself with University policy and procedure regarding registration, drop/withdrawal, and refunds.
I further under
stand that dropping/withdrawing below full time status may jeopardize my financial aid eligibility and/or immigration
status (for students on F1 or J1 Visa). Full-time credit-load is 12 credits for undergraduate students and 9 credits for graduate
students.
Student’s Signature: ________________________________________________________ Date: _________________
Submit completed form to:
Office of Records & Registration
5 Metro Tech Center,
LC260, Brooklyn, NY 11201
Phone: 646-997-3486
Fax: 646-997-3896
Email: tandon.registration@nyu.edu
For Records & Registration Use Only
Date Processed: __________________________________
Processed By: ____________________________________
Waiving Co-Requisite
Withdrawal Form
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Waiving Co-Requisite Withdrawal Form Summer 20 (New York University)

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Completed 23 July 2020

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