Degree Student Withdrawal Form
Please fill out this form if you wish to withdraw from a course(s), withdraw from the semester, or withdraw from the college.
Note: If you are withdrawing for medical reasons, please fill out the Medical Withdrawal Form.
Last Name:
First Name:
Student ID:
Email:
Program:
Please select...
Bachelor of Professional Studies
Master of Arts
Master of Music
Type of Withdrawal:
Please select...
Course
Semester
College
Choose course ONLY if you are withdrawing from some of your registered courses. Choose semester if you are withdrawing from ALL registered courses.
***If you are withdrawing from the college and are enrolled in the current semester, you will need to submit BOTH a semester AND a college withdrawal.***
For a
course
withdrawal, list which course(s):
Course #:
Course Name:
For a
semester
withdrawal, list which semester you plan to return:
Fall
Enter year
Winter
Enter year
Spring
Enter year
Summer
Enter year
For a
college
withdrawal, list the institution you plan to transfer to (optional):
Reason for Withdrawal (check all that apply):
Financial Difficulties
Family Reasons
Time Constraints
Personal Reasons
Other:
Check if applicable:
I am receiving some form of financial aid such as Stafford Loans, Pell Grants, Private Loans, etc. I understand that withdrawing will affect my financial aid. I also understand that I must maintain satisfactory academic progress in order to receive financial aid.
I am using Veteran’s Benefits. I understand that withdrawing or reducing my credits will affect what I receive from the VA.
I understand that I am financially responsible for the tuition and fees charged, and that the
withdrawal I have requested will not result in a tuition refund.
Note: All students who receive financial aid are required to complete an exit interview with Financial Aid. Please contact Financial Aid at 617-747-2274 to set up your interview. Alternatively, you can complete this online by visiting www.studentloans.gov.
Decision:
Date Processed:
Contact Information
