• University Withdrawal Agreement

    This form is to be submitted when it is the student's intent to completely withdraw from Belmont University
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  • IMPORTANT NOTE:

    If you are withdrawing from the university for the current semester, please be aware of the courses schedule change deadlines and the last day to withdraw for the semester linked HERE. 

    Please also make note of Student Financial Services' deadlines for any percentage of a tuition refund linked HERE.

  • Required Information

  • Contact your Athletic Academic Coordinator

  • Contact the VA Education Counselor, Daina Hunter at daina.hunter@belmont.edu

  • Contact the Assistant Director of International Students and Scholars (Office of Global Education)

  • If you are receiving the Tennessee HOPE Scholarship, withdrawing from the university may discontinue your HOPE Scholarship eligibility. Contact Student Financial Services for information on the appeal process.

  • As a Title IV recipient, I understand that in accordance with Federal Regulations, all or a portion of my loans or grants may be removed from my account. In the event funds are removed, I agree to pay any outstanding charges that result from this federal calculation. According to Belmont policy, institutional scholarships and grants may be removed, thus creating additional charges for which I am responsible.

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    Pick a Date
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    Pick a Date
  • If "Other" reason is chosen, please provide your specific reason for withdrawing from the university. (Your response will be held in confidence).  

  • Students are required to re-apply through the Office of Admissions if absent or not enrolled for a semester. The re-admit process is simple and straight-forward. 

  • Sign Below to Acknowledge the Following Information: 

    • Refer to the Belmont website and university catalog for the DIFFERENT refund policies and deadlines for tuition, fees, housing, and meal plans.
    • I understand that it is my responsibility to follow up with Student Financial Services and Residence Life regarding my account and any balance which may remain due to withdrawing from Belmont.
    • If there are charges which I have incurred that have not yet posted to my student account, I understand and agree that I am responsible for these charges. 
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