• Course Withdrawal Request Current Semester

  • Important Note:

    This form is for students requesting to withdraw from a course after the drop period, with a "W" (withdrawal) grade assigned. The purpose is to solicit advisor conversation and recommendations, while ensuring that students remain enrolled in at least 36 other units.

    Students who wish to withdraw from a course after the drop deadline must complete a Course Withdrawal Request form and must obtain their primary advisor's signature. The advisor will indicate whether they "endorse" or "not endorse" the withdrawal from the course on the , then sign and forward the petition to office of Academic Affairs & Admissions. The "W" grade will appear on the student's academic record, whether the advisor endorses or does not endorse the withdrawal.

    • Student Information 
    • Title*
    • Degree*
    • Program*
    • Current Semester*
    • Course Information 
    • Withdrawn for Semester*
    • 0/35
    • Date*
       / /
      2 digit month, 2 digit day, 4 digit year
    •  
    • Should be Empty: