Course Withdrawal Form

Course Withdrawal Form

Please review the terms and conditions at the bottom of this form before submitting.
Do you participate in varsity athletics?*
If you answered yes to the previous question, please note that athletes are not eligible to participate in sporting competitions if they are below full time. If withdrawing from this course takes you below 12 credit hours, that means you will be part time. Please consult with your coach before making any decision to withdraw from a course.
Do you plan to graduate at the end of this semester?*
If you plan to graduate at the end of this semester, it is highly recommended that you consult with your advisor(s) to make sure the withdraw will not affect your ability to graduate.
Student Name*

First NameLast Name
Muskingum Email*
example@muskingum.com
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?*
Have you talked with the instructor regarding your withdrawal from the course?*
If you answered no to the previous question, please note that it is extremely important to discuss your intention to withdraw from the course with the instructor.
Who is your advisor?*
If you have multiple advisors, please list only one.
Have you consulted with your advisor regarding this withdrawal?*
If you answered no to the previous question, please note that it is extremely important to consult with your advisor when deciding whether or not to withdrawal from a course.
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: