Withdrawal Card Student's ID#:*Please type the 7 digit student ID Student's Name:*Please enter Student's Name as: last name, first name, middle initial Course to DropProvide course prefix, course number, and course section below. Course Prefix:*ACAACCAGRAHRALTANSANTARCARTASLASTATRBIOBPRBUSCCTCEGCETCISCHMCIVCJCCMTCOECOMCOSCSCCSTCTICTSDBADDFDEADENDFTDMADRADREECOEDUEGRELCELNENGENVFVPGELGEOHEAHISHORHSEHUMHYDIPPISCLEXMACMASMATMECMEDMECMKTMLTMNTMUSNETNOSNUROSTPCCPCDPCRPCWPEDPHIPHYPLUPOLPSYREDRELSABSECSGDSOCSPASRVSSTTREWATWBLWEBWLDCourse Number:* Course Section:* Withdrawal initiated by:*Choosing the Instructor option will prompt for additional information. StudentInstructorReason for Withdrawal:Excessive AbsencesOtherStudent Means of Notification: Phone Email In Person Reason for Withdrawal:*Administrative DropChanged My MindChild Care ProblemsClass CancelledCo-Requisite Not MetCourse Load Too HeavyCourse Not What ExpectedCourse Too DifficultDeceasedDissatisfied - InstructionEmploymentExcessive AbsencesFinancialIllnessMisadvisedPersonalRelocationTransfer to Another SchoolTransportationOther ReasonIf the instructor's reason is other, briefly explain. Last Date of Attendance (LA):* MM slash DD slash YYYY Current Date:* MM slash DD slash YYYY Grade:*W- Student WithdrawalIW - Instructor WithdrawalFailingElectronic SignatureBy submitting this withdrawal card, I certify to the best of my knowledge that the information given is true and complete. Further, I understand and agree that my electronic signature is the legal equivalent of my manual signature. Instructor's First and Last Name:* Instructor's Email Address*This will be used to send an confirmation email for record keeping purposes.
