1845 E. Northgate ▪ Irving, Texas 75062-4736
(972) 265-5814 ▪ Toll-free (888) 447.4777 ▪ Fax (972) 721-4076 ▪ www.udallas.edu/ministry
For office use only:
Withdrawal date: ___/___/___
Online course / Brightspace contact notified ___/___/___
Financial Aid notified ___/___/___
Withdrawal from All Courses
Complete this form, obtain all requested signatures, and return to the NSOM office.
If planning to return, a Leave of Absence form should also be completed.
STUDENT NAME UD ID #
FIRST TIME UD STUDENT? YES NO
By typing my name on the line below, I hereby affirm that the above statements are true to the
best of my knowledge. I also agree to the terms and conditions of the Neuhoff School of Ministry
regarding this form.
STUDENT SIGNATURE DATE
DEAN/DELEGATE SIGNATURE
TUITION CREDIT WITHDRAWAL POLICY
Weekly Classes: (a) Before 1
st
Day of class - 100%; (b) 1
st
day of class through the last day of add/drop
period – 80%; (c) 1
st
week after the close of add/drop period – 60%; (d) 2
nd
week after the close of
add/drop period – 40%; (e) 3
rd
week after add/drop period – 20%; (f) From the 4
th
week on after the close
of the add/drop period – none. All fees are non-refundable.
Note: University Scholarships do not cover re-taking courses from which the students have
withdrawn. Be sure to notify the Financial Aid Office of withdrawal, if receiving financial aid.
