GE Course Withdrawal Request
Please complete this form to request withdrawal from a course. Please note: refunds will not be granted should this request be submitted after 60% of the course has been completed (e.g. 10-week course deadline is end of Week 6, Sunday at 11:59 p.m.; 8-week course deadline is end of week 5, Sunday at 11:59 pm).
Name
First Name
Last Name
Email
example@example.com
Please select the course(s) from which you are withdrawing:
AP100-Anatomy & Physiology Refresher I
AP101-Anatomy & Physiology Refresher II
BIO100-Human Biology
BIO200A-Anatomy and Physiology 1
BIO200B-Anatomy and Physiology 2
BIO205-Microbiology
BIO465-Exercise and Nutrition Physiology
BST460-Biostatistics
COMM100-Oral Communication
ENG101-English Composition
ENG450-Critical Reasoning and Advanced Composition
MATH100-Intermediate Algebra
MUS100-Music Appreciation
PHI100-Introduction to Ethics
PSYC101-Introduction to Psychology
PSYC400-Psychopathology
SOC100-Introduction to Sociology
Select your reason for withdrawal
Please Select
Personal/Family Issues
Personal/Family Illness
Job-related
Military-related
Financial reasons
Moved (housing)
Dissatisfied with instruction
College experience not what I expected
Time conflict with other responsibilities
Dissatisfied with my academic performance
Other
Signature
Continue
Continue
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