All students complete and submit this form to withdraw from a Graduate course. Withdrawal will impact your financial aid and you may have to pay back substantial amounts of aid prior to registering for next term. Please check with your Financial Aid officer. Date of form submission will be considered the day of withdrawal (check deadlines). Students being charged with Academic Misconduct (ex. Plagiarism) are not to withdraw from the course. If a student withdraws from a course after being notified of an allegation the student has violated the Code of Conduct, s/he will be administratively reenrolled in the course and s/he is responsible for remaining coursework, as applicable (see handbook, Code of Conduct). Please select one: I am withdrawing from one or more courses but will remain registered for one or more courses during this term or semester. I am withdrawing from the University for this term or semester (will not be enrolled in any courses this term/semester once withdrawn Name Student ID Number Telephone Number Bravemail Address (NOTE: Only withdrawal forms submitted using you UNCP email will be processed) Bravemail Address (NOTE: Only withdrawal forms submitted using you UNCP email will be processed) Confirm Bravemail Address I am: Regular Student (Standard Program Terms) OAP Student (Accelerated Program Terms) Semester Fall Semester Spring Semester Maymester Summer Session I Intra Session I Summer Session II Intra Session II Accelerated Program Terms Fall I term (Aug-Oct) - OAP Student Fall II term (Oct-Dec) - OAP Student Spring I term (Jan-Mar) - OAP Student Spring II term (Mar-May) - OAP Student Summer I term (May-June) - OAP Student Summer II term (June- Aug) - OAP Student Carefully list the name, prefix, number and section of course(s) in which you’d like to be withdrawn. Reasons for Withdrawal Academic Administratively Withdrawn Official Church Mission Class Not Needed Death Family Issues Financial Noncompliance Immunizations Job Conflict Medical-Health Military Service Professor Conflict Personal Relocating Schedule Conflict Transfer to Another College Provide a specific explanation *All answers kept confidential Signature Sign above Leave this field blank