Late Registration and Withdrawal

Late Registration and Withdrawal
This form is for submitting Late Registration or Late Withdrawal requests to the WIU School of Graduate Studies. It can be used only for one course at a time. Please fill in all the relevant information related to the course. Please note that the "Late Withdrawal" requests will be approved only if you are enrolled in the course for the current semester.
Name*

First NameLast Name
Email (must use WIU email address)*
example@example.com
WIU ID Number*
My Graduate Program is*
Graduate Program
I would like to request*

Late RegistrationLate Withdrawal
Course Name and Number (PRGM/PRG/PR NUM)*
STARS number (5 digits)*
Credit Hours (Single Digit)*
Semester (Fall/Spring/Summer YYYY)*
Course Instructor Name*

First NameLast Name
Course Instructor Email*
example@example.com
Graduate Advisor Name

First NameLast Name
Graduate Advisor Email
example@example.com
Department Chair Name

First NameLast Name
Department Chair Email
example@example.com
Reason for not registering by the university deadline:*
Reason for not withdrawing before the university deadline:*
Should be Empty: