Course Withdrawal Form

Instructions: Undergraduate, graduate and part-time students may use this form to withdraw from courses (grade of "W"). Please refer to the academic calendar for the course withdrawal deadline; as well as the Refund Policy.
  • Use your mouse or TAB key to go from entry field to entry field
  • DO NOT hit Enter or Return after each entry field as this will submit the form prematurely
  • Verify all information is correct before submitting.
* - Required. Form won't submit without completing this field
 
   
   
Term:
   
Status: Undergrad/Part-time     Graduate
   
Date:
   
Student ID#:
   
First Name: *
   
Last Name:*
   
E-mail Address:*
   
Mailing Address:
   
City:  
   
State:   or Country:
   
Zip:
   
Phone (Home):
   
Phone (Cell):
 
List Course Code and Section for All Courses You Wish to Withdraw From
 
Reasons for Dropping Course(s)
   
Financial Aid? Yes    No
   
Bank Loan? Yes    No
   
Returning next semester? Yes    No

Note 1: Please refer to the Bursar site for refund policies: http://www.quinnipiac.edu/bursar

Note 2: Please verify that all information is correct. Once you click the "Submit Form" below, this form will be automatically sent to the Office of the Registrar and the Office of the Bursar for processing.