Class Withdrawal Request
Name
*
First Name
Last Name
I would like to withdraw from:
*
Course Code
*
example: BT 100
Withdrawal grade assigned:
WP
WF
Instructor's Email:
*
example@example.com
Advisor's Email
*
example@example.com
Student's signature:
*
Jani's Email
example@example.com
Submit
Should be Empty: