Course Withdrawal Form
7 Digit Student ID Number
Which course are you requesting a withdrawal?
Ex: SOCI 101 1 *** Make sure you include the course and section number!!
Who teaches the course?
Who is your advisor?
If you have multiple advisors, please list only one.
Please write a brief explanation of why you would like to withdraw from the course indicated above. Please note that a copy of this form will be forwarded to the instructor and your advisor.
Should be Empty: