Updated 12/2018
Saint Louis University
Petition for Complete Drop/Withdrawal
with Registration Hold
Form
#9
Enrollment Services Center - DuBourg Hall, Room 119
1 Grand Blvd. St. Louis, MO 63103 314.977.2269 www.slu.edu/questions
Section 3
Not Returning
Section 2
Withdrawal
Semester (fall/winter/spring/summer and year)
This petition is for a complete drop/withdrawal; if not completely dropping/withdrawing
submit the Petition to Withdraw from Course After the Late Registration Period
Please check if you do not intend to return to Saint Louis University
Student Name
Student Email
Primary Program/Major
Student ID
Student Phone #
Total Earned Hours
If Yes, what institution?
Will you be transferring to another institution?
Yes
No
If No, what do you plan to do?
Please indicate the main reason you are leaving Saint Louis University.
Other
Academic Reasons
Financial Reasons
Social and campus life
Personal health issues
Personal reasons other than health
Please elaborate on the main reason you are leaving Saint Louis University.
If you checked you do not intend to return to Saint Louis University
Enrollment Services Center - DuBourg Hall, Room 119
1 Grand Blvd. St. Louis, MO 63103 314.977.2269 www.slu.edu/questions
I understand and acknowledge that:
By completing this petition students are authorizing the Office of the University Registrar to
drop/withdraw all enrolled courses for the semester identified on this petition,
By checking “Please check if you do not intend to return to Saint Louis University” students
are authorizing the Office of the University Registrar to close their student record and drop
all enrolled courses for future semesters,
When withdrawing from course(s) after the late registration period a grade of “W” will be
assigned to the student’s academic transcript,
Students intending to return to Saint Louis University must be approved for a Leave of
Absence otherwise must re-apply to Saint Louis University.
A semester withdrawal will affect the following:
Scholarship/Financial Aid - Students receiving any scholarships or financial aid should
consult with their Student Financial Services counselor,
Tuition Charges - Students should reference the Refund and Drop calendar found on the
Office of the University Registrar’s website at registrar.slu.edu,
Visa Status - International students must consult with the Office of International Services
concerning conditions of their student visas,
Housing - Students residing in on-campus housing should consult with Housing &
Residence Life,
Parking - Students with on-campus parking should consult with Parking and Card
Services.
Student Signature
Date
Section 4
Acknowledgements
1. Student completes sections 1, and 2.
2. If not returning to Saint Louis University, student completes section 3.
3. Student acknowledges policies related to a complete withdrawal by signing in section 4.
4. Student submits petition to the Office of the University Registrar
5. Office of the University Registrar updates student’s record.
Form Procedures
Saint Louis University
Petition for Complete Drop/Withdrawal
with Registration Hold
Form
#9
click to sign
signature
click to edit