Degree Student Course(s)/Semester Withdrawal Form
Please fill out this form if you wish to withdraw from a course(s)
OR
withdraw from the semester (all courses).
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 (withdraw from one or more, but not all courses)
Semester (withdraw from all courses)
If you are enrolled in ONLY one course, please select
semester
(withdraw from all courses)
.
For a
course
withdrawal, list which course(s):
Course #:
Course Name:
For a
semester
withdrawal, list which semester you plan to resume courses (Example: Spring
2021
):
Fall
Enter year
Winter
Enter year
Spring
Enter year
Summer
Enter year
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
