Complete Withdrawal Form

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Withdrawal from ALL Classes
UCO ID Number:
*
Name (Last, First, MI):
Date:
Email:
Cell:
Address:
City:
Semester (Check one): Fall Spring Summer
State:
Year: ________
Zip:
Intended Date to Return:
PLEASE READ BEFORE COMPLETELY WITHDRAWING FROM SCHOOL
The completion on a withdrawal from all classes after the semester begins does not necessarily indicate a clearance of financial or other obligations.
All obligations of the University must be met regardless of the student’s withdrawal status. Refunds, if any, at the time of completion of
withdrawal are according to the Regents’ refund policy as detailed in the class schedule. If your printout indicates a refund is due, you should receive
your check by mail within (2) weeks.
Withdrawing from school may change your student status. You should consider how your decision will affect your future status if you are
receiving one of the following: financial aid, social security, veterans’ benefits, or a scholarship. Your ability to purchase insurance as a student, to
maintain athletic eligibility, or to maintain a student visa (if an international student), may also be affected as a result of your class or school
withdrawal. There is no record of the enrollment if withdrawing before the official beginning date of the semester. If withdrawing on or after the
first day of the semester, but before the third week of a sixteen week semester, the notation “Withdrew” and the date will be made on the official
transcript. Withdrawals beginning with the third week of a sixteen week semester will result in the grade of “W” appearing for each course dropped.
If you have any doubt as to dropping a class or wonder if your withdrawal from school is in your best interest, please see your advisor (405-9742727) or make an appointment with a counselor (405-974-2215) in the Center for Counseling and Well-Being. In addition, if you are receiving
financial aid, please contact financial aid before withdrawing.
Please check reason for withdrawal
□ Academics – Doing poorly in courses
□ Academics – Unable to get courses I wanted
□ Academics – Unsure of major/career
□ Academics – Transferring to/enrolled at another institution
□ Academics – Courses unneeded
□ Academics – Technology challenges
□ Academics – Lack time management
□ Financial – Problem with financial aid
□ Financial – Personal financial difficulties
□ Financial – Tuition and fees were more than I could afford
□ Family issues – Family health
□ Family issues –Child care not available
□ Family issues – Death in the family
□ Family issues – Family emergency
□ Personal – Homesick
□ Personal –Need a break from school
□ Personal –Health conditions
□ Personal –Mental health
□ Personal – Work schedule interfering with school
□ Personal – Moved
□ Personal – Marriage/divorce
□ Military commitments
Permission from the following offices must be obtained in the order below to be withdrawn from all courses. If any
of your courses have already ended, you cannot withdraw, but must drop individual courses by using the Add-Drop Form.
1. Financial Aid (NUC 141): ______________________________________________________________________________ Date: ____________
2. Bursar (NUC): _______________________________________________________________________________________ Date: _____________
3. Enrollment Services (NUC 124): _________________________________________________________________________ Date: _____________
If applicable:
4. International students (International Office, NUC 137): _______________________________________________________ Date: _____________
5. Student athletes (NCAA Compliance Officer, NUC 121): _____________________________________________________Date: _____________
I am responsible for the late enrollment fee (if charged) and any non-refundable tuition percentages and/or
return of financial aid funds resulting from this withdrawal.
I agree to the conditions stipulated above.
_______________________________________
Student signature
Modified 12/9/2014 
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