Degree Student Withdrawal Form
Please fill out this form if you wish to withdraw from a course(s), withdraw from the semester (all courses), 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 (one or more, but not all courses)
Semester (all courses)
College
If you are enrolled in
ONLY ONE
course and would like to withdraw, please select
semest
er (all courses
)
.
If you would like to withdraw from the college AND you're also 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
