Withdrawal Form

This form is used to withdraw from all classes within a current term and/or from the university.

**Withdrawal Form Statement: A student may withdraw from school without academic penalty through the date identified in the Academic Calendar (https://www.faulkner.edu/academic-resources/academic-calendar/) of each program as the “last day to drop a class with a “W”. A student withdrawing from school (all courses) must complete this official withdrawal form. Your withdrawal is not official until you, the student submit the completed online form to the Registrar’s Office for processing. All withdrawals after the time noted above will result in a grade of “F” (withdrawn-failing), which will adversely affect the grade point average. You will be charged 50% or 100% of tuition based on when you receive a W/F/FA.

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Withdrawal Form Statement

A student may withdraw from school without academic penalty through the date identified in the Academic Calendar (https://www.faulkner.edu/academic-resources/academic-calendar/) of each program as the “last day to drop a class with a “W”. A student withdrawing from school (all courses) must complete this official withdrawal form. Your withdrawal is not official until you, the student submit the completed online form to the Registrar’s Office for processing. All withdrawals after the time noted above will result in a grade of “F” (withdrawn-failing), which will adversely affect the grade point average. You will be charged 50% or 100% of tuition based on when you receive a W/F/FA.

Do you know your student ID number?*

Yes
No

Student ID #*

Social Security Number*

Are you withdrawing from more than one term?*

Yes
No

Select Terms*

Spring
Summer
Fall

Select Term*

Term's Year*

Withdrawing from the program and all classes for the appropriate term checked. The OFFICIAL date of withdrawal is determined by the date that the first contact is made by the student to initiate the withdrawal process. Charges and/or refunds to the student’s account and grades are based on this date.

Select Program*

Receiving TA/VA Benefits (Military)*

Yes
No

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Email*

Enter Email Confirm Email

Reasons for Withdrawal*

YOU WILL BE CONTACTED BY A FAULKNER ADMINISTRATOR TO FINALIZE THIS WITHDRAWAL. PLEASE INCLUDE YOUR CONTACT NUMBER AND CLICK THE SUBMIT BUTTON TO PROCESS THIS REQUEST.

Contact Number*

Signature*

BY SUBMITTING THIS WITHDRAWAL FORM, I HEREBY AFFIRM THAT ALL INFORMATION PROVIDED IS COMPLETE AND ACCURATE AND THAT I AM THE PERSON WHOSE NAME APPEARS ON THIS FORM. I ACKNOWLEDGE THAT I UNDERSTAND THE WITHDRAWAL POLICY AND THAT A FINANCIAL PENALTY WILL OCCUR IF NOT SUBMITTED BY THE DEADLINE.

Introduction

Withdrawal Form