Withdraw Status Form

Withdraw Status Form

Dropping or withdrawing from a course or all courses could have a major impact on your financial aid and bill. Complete this form if you plan to withdraw or drop courses and would like to determine what effect it may have on your financial aid and billing. It may also be completed if you have already determined you are going to withdraw or drop courses.
Student Name*

First NameLast Name
Mid Michigan College Student ID Number*
You can find your Student ID Number on your Mid Michigan College Student ID Card or in myMid.
Student's Mid Mich Email*
example@midmich.edu
What are your next steps? Select all that apply.*

I am seeking an estimate of how my financial aid and billing will be impactedI am confirming that I am withdrawing and/or dropping courses
What is your withdraw status?*

I'm withdrawing from my courses during the current semesterI'm withdrawing from some courses, not allI'm withdrawing from my courses at the end of the current semesterI'm not returning next semesterOther
Signature | By signing, I certify that I am the student named above.*

Clear
Date*

MonthDayYear
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