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Course Withdrawal Form
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student ID Number
*
Your answer
Student Email Address
*
Your answer
Semester
*
Fall
Spring
Summer
Year
*
Your answer
I wish to withdraw from: (Course Department, Number, Section, and Title)
*
Your answer
I will remain enrolled at Greensboro College and intend to remain in other courses currently on my
schedule.
*
Agree
Required
I understand that withdrawal from this course MAY impact my financial aid and/or my student account
balance. I further understand that it is my responsibility to speak with these offices BEFORE I submit
this form if I have any uncertainty or questions regarding the repercussions of this action.
*
Agree
Required
I understand that withdrawal from this course MAY delay my graduation date and impact my overall class standing. I understand that class standings are determined by credit hours earned and this could potentially impair my ability to sign up for classes.
*
Agree
Required
I understand that on-campus housing requires a course load of at least 8 credit hours. I understand that withdrawing below this limit will mean that I can no longer live on campus and must vacate my residence hall immediately.
*
Agree
Required
By checking this box, you are verifying that you approve of the form outlined above and wish to withdraw from the stated course
*
Agree
Required
Date of Course Withdrawal
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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