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Student Withdrawal Form

This form is to be used if you are dropping all of your classes for the term. If you wish to drop a course, but still be enrolled in at least one other course for the same term, please complete the Course Drop Request Form.

This form must be received by 5 p.m. Central Time or the request will be processed the next business day.

All fields marked with asterisk (*) are required.

required radio button field
Semester*
required date field
required email address field
required text field
required text field
text field
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text field
required text field
required text field
required radio button field
Are you a/an*
required select menu field
required radio button field
Are you enrolled in any 8-week courses?*
date field
text field
radio button field
Are you employed?
select menu field
required radio button field
Do you plan to return to ASU?*
text field
radio button field
I am leaving ASU at present and
required radio button field
Are you transferring?*
text field
required radio button field
Please indicate your primary reason for your withdrawal from ASU*
If you choose 'other' please fill out the Comment field below.
textarea field
textarea field
textarea field
textarea field
textarea field
textarea field
required checkbox field
By completing and submitting this form…*
paragraph field

If you have questions regarding these statements, contact the office who oversees the process prior to submitting this form.