OFFICE OF THE REGISTRAR
THE UNIVERSITY OF NORTH CAROLINA AT PEMBROKE

Withdrawal Application

Directions: Please complete and click the "Submit" button.

 

 

This form must be submitted if you are dropping all courses from a semester or a summer session. Students registered for future terms will not be officially withdrawn unless they indicate this below. Otherwise, registration for future terms will be perserved.

STOP
DO NOT use this form if you are withdrawing after the official withdrawal date specified in the Academic Calendar

Undergraduate student complete all information and submit to The Office of the Registrar.

Name:
Student ID Number: Telephone Number: Date:
Street Address:
Email Address: State: .Zip:

Indicate year term you are requesting to be withdrawn
Fall Semester
Spring Semester
Maymester
Summer Session I
Intra Session I
Summer Session II
Intra Session II
 
................... What was the date of the last you attended a class?
Reasons for Withdrawal:
Transfer
Relocation
Family Reason(s)
   
Financial Reason(s)
Schedule Conflict
Medical
   


Provide an explanation below for withdrawal.

  

Yes No Re-instate my previous registration for the upcoming semester(s).

Refunds

To be eligible for a refund or adjustment to your account, email the instructor of the last class you attended and have them verify your last date of attendance by emailing shirley.floyd@uncp.edu. Refunds will not be processed until the instructor has verified your last day of attendance. This process should be completed no later than thirty days after you submit this application.

Copies of this form are forwarded to the student's advisor, the Dean of Students, the Chief Student Affairs Judicial Officer, Student Accounts, the Director of Financial Aid and the Director of Retention and Advisement.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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