We are sorry to hear that you wish to dis-enroll from the University. Prior to withdrawing, we will gather information for you about the possible consequences of the withdrawal, and then schedule a time to meet either face-to-face or by phone with an Academic Success Counselor.

Please complete the following: (all fields are required)

  • Date Format: MM slash DD slash YYYY

Please note: This is not your withdrawal form. Sending this request will not get you withdrawn from the University. You are required to provide your information above, so that an Academic Success Counselor can contact you by phone, within the next 24 hours, at which time, you will complete official withdrawal paperwork.
Thank you,

Registrar’s Office