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  • Student Affairs

    111 University Parkway, Suite 202

    Yakima WA 98901

    Phone: 509-452-5100

    Fax: 509-452-5101

  • Withdrawal Request Form

  • Requests to withdraw from School are initiated in the Office of Student Affairs. Appropriate personnel will meet to review the request to assure administrative procedures are followed and an academic plan considered.  A final decision to grant the request will be made in writing to the student.

    Please meet with the Office of Student Affairs immediately upon considering a withdrawal from School. It is equally important to meet with the Office of Financial Aid to understand the consequences of your actions.

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    I hereby request to be withdrawn from Pacific Northwest University of Health Sciences, subject to all regulations pertinent to withdrawal and refunds, and affirm all the above information is correct.  I understand subsequent registration or readmission must be in accordance with the University’s regulations in effect at that time.  I understand that all financial obligations to the University must be paid before I may register again or receive copies of my academic records.  If I am eligible for any refund, I understand that it will be computed as of the date this form was received in the Office of Student Affairs and may be reduced by any debt I currently owe the University or by my failure to complete the withdrawal process.  I understand that this form should be delivered to the Office of Student Affairs.  I understand and accept full responsibility for any and all consequences of withdrawing from Pacific Northwest University of Health Sciences.

  • I acknowledge that by pressing the submit button, I am officially signing this document. My typed name below is my symbol and intent of authentication where I willingly signed, understand, and adopt this document.

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