Withdrawal Notification

Instructions

Please complete this form if you are leaving Westminster for any reason prior to graduation. Upon submission of this form, we will notify the Dean of Students of your desire to withdraw from WTS.

If you are simply looking to withdraw from an individual course after the add/drop period, please email Student Success.

General Information

First Name

Last Name

WTS Student Email Address

Current Degree Program

Withdrawal Request

Do you currently receive financial aid (scholarships, loans or VA benefits)?

Yes

No

Are you on a J1/F1 student visa?

Yes

No

Would you like to be withdrawn immediately or at the end of the current term?

Important Note: Your submission of this form affirms that you understand you are still responsible for completing all coursework for this semester Your effective withdrawal date will be the last day of exams for the specified term.

Important Note: Your submission of this form affirms that you understand you will be withdrawn from all courses for which you are currently registered. If you request to withdraw after the deadline to withdraw from courses, you will receive an F grade for each course. Your effective withdrawal date will be the date the Academic Affairs office receives this completed form.

Primary reason for withdrawal:

Explanation for leaving:

Are you transferring to another graduate-level institution?

Yes

No

Institution name

Are you moving?

Yes

No

New Address

Country

Street

City

Region

Postal Code

Primary Phone Number

Withdrawal, Reinstatement & Readmission Policies

Policy Confirmation: I have reviewed the policies in the Academic Catalog regarding Withdrawal, Reinstatement, and Readmission.

Yes

Electronic Signature

I understand by entering my name below as an electronic signature, I attest that all information above is true and give Westminster authority to withdraw me as a student.