Revised: April 2018 Page 1 of 2 Office of Records & Registration
UNIVERSITY WITHDRAWAL NOTIFICATION
Student Information:
________________________________________
GGU ID# or SS#
____________________________________________ ________________________________________
Student’s Name Degree Program
____________________________________________ ________________________________________
Address Phone Number
____________________________________________ ________________________________________
City/State/Zip E-mail Address
Current Term Enrollment Information (check all that apply):
I have dropped or withdrawn from all courses this term either by dropping all courses online via GGU4YOU, submitting a
Registration Form, or sending an email request to registration@ggu.edu
; or I was not enrolled for the current term.
I received Federal Student Aid (loans or grants) and I have notified the Financial Aid Office at finaid@ggu.edu of my intent to
withdraw completely; I understand this action may result in my owing a balance to Golden Gate University.
My current student account balance is $__________ (Account balance may be viewed online via GGU4YOU.) If my balance is
not $0 I have contacted Student Accounting Services at sas@ggu.edu
to establish a payment plan.
Withdrawal Request and Acknowledgement of Policies (check all that apply
):
I am discontinuing my studies.
I intend to enroll in another school. Name of school: _________________________________________________________
Reason for withdrawal: _________________________________________________________________________________
Effective Date: ______________________________ Last Date of Attendance: _______________________________
I have read, understand, and initialed the policies on page two of this form.
______________________________________________________ ____________________________
Student’s Signature Date
Internal Processing:
______________________________________________________ ____________________________
Registrar’s Office Signature Date Received and Recorded
Complete, scan, and submit this form to the Office of Records & Registration at records@ggu.edu
or fax to 415-442-7223. For assistance call 415-442-7292. Attn: Law School students Do not
use this form. Contact the Law School Registrar at 415-442-6620 or
lawreg@ggu.edu.
click to sign
signature
click to edit
Revised: April 2018 Page 2 of 2 Office of Records & Registration
Withdrawal Policies
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Initial
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Initial
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Initial
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Initial
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Initial
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Initial
1. If I am currently enrolled in a course(s) and the last day to drop course without
tuition charge or “W” gradefor the term has not passed per the academic
calendar, I understand that I must drop any course that I do not intend to complete,
either by dropping it online via GGU4YOU, by submitting a Registration Form to the
Office of Records & Registration, or by submitting a drop request via email to
registration@ggu.edu.
2. If I am currently enrolled in a course(s) and the last day to drop course without
tuition charge or “W” grade for the term has passed per the academic calendar,
I understand that I am obligated to pay any remaining registration charges owed to
Golden Gate University and to make any payments as agreed to under any payment
plans entered into with Golden Gate University’s payment plan provider, Tuition
Management Systems.
3. If I am currently enrolled in a course(s) and the last date to withdraw from
coursefor the term has passed per the academic calendar, I understand that I
must complete the course and earn a letter grade or I will receive a failing grade for
the course, which may be either an “F” or a “WF.”
4. If I received United States Federal Student Aid (loans or grants), I understand that if
I do not attend classes through the end of the award period and complete at least
one course for which my aid was packaged, that I may owe a balance to Golden
Gate University after the Financial Aid Office completes the “Return to Title IV”
calculation and returns any Federal Student Aid funds to the US Department of
Education that are required to be returned in accordance with the calculation.
5. I understand that by withdrawing from Golden Gate University, I will not be eligible
to enroll in courses again without first applying for admission and being re-admitted
to an academic program or submitting an open enrollment application. Furthermore,
I understand that if I am readmitted to Golden Gate University, that my prior
academic history will continue to appear on my transcript and will be considered in
the readmission decision.
6. I understand that were I to seek readmission to Golden Gate University, and I were
to be readmitted, that I would be required to complete the program requirements
for the catalog year in effect at the time of my readmission.