Drop/Withdrawal Request

Personal Info

Name*

ID# or Last 4 Digits of your SSN:*

Phone:*

Email (other than your USW account):*

Are you a graduate or undergraduate student?*

Graduate

Undergraduate

Please select the appropriate student type:* (Non-Athlete, Volleyball, Soccer, etc...)

Course Info

Term in which you plan to drop/withdraw:*

How many courses do you plan to drop/withdraw from? *

Please state your reason for you drop/withdraw request in the box below:*

Course: (Course Name, #, Sec.)*

Residency:

Other Information

Do you plan on returning to USW in future terms?

Are you planning to return next term?

By clicking submit I confirm my electronic signature and approve this request.