Semester Withdrawal Form

Semester & Year Withdrawing *

Select Term and year

Student ID (W#)*

ex: W001235678

If enrolled in future terms, do you wish to be withdrawn from those as well?*

YesNo

Student Level*

GraduateUndergraduate

What is your current Major?*

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Update Contact Information*

YesNo

Please describe the reason for your withdrawal:*

Please provide an explanation for your reasons for withdrawing. This information helps us to understand how we can better serve our students.

Have you already talked to your Financial Aid Counselor?*

YesNo

Are you planning to return to WNMU in the future?*

YesNo

It is HIGHLY recommended that financial aid recipients discuss the possible impact of a semester withdrawal with their Financial Aid Counselor since withdrawing may impact financial aid status, including a possible requirement to repay disbursed aid or change in current or future eligibility.

Are you still in high school?*

YesNo

Do you live on campus?*

YesNo

Are you receiving military affiliated benefits?*

YesNo

Reminders & Acknowledgements

All of the student's information can be found in the portal.
Withdrawing during the first week in school will be eligible for refund.
The Withdrawal will be effective the date listed when you submit.
Withdrawing from the term could affect your financial aid. For further information regarding your aid, please contact the Financial Aid Office prior to submitting this form. they may be reached at finaid@wnmu.edu or 575-538-6173.

I acknowledge that I have read and understand the information in this form and wish to proceed with semester withdrawal.*

AgreeCancel Withdrawal Request

Signature*

Date Signed*

Date