Master of Fine Arts (MFA)
Graduate Complete
Program Withdrawal Form
This form is to be used to completely drop or withdrawal from all your current courses and the MFA Graduate
program.
Name: __________________________________ Student ID No.: ______________________________
Phone Number ________________________________ Semester: _____________________________
Program:  Creative Writing


 Interdisciplinary Arts
A Withdrawal may be filed until 60 percent of the semester has elapsed. Please see the semester
calendar for exact dates.
Obtain the necessary signatures below and file this form with the Registrar’s Office.
Required Approval
Advisor (Printed) _____________________________ Signature: ___________________ Date: ______
MFA Department Chair ____ ___________________Signature: ___________________ Date: ______
Financial Aid _________________________________ Signature: ___________________ Date: ______
List the courses you wish to drop/withdraw from:
CRN
Subj.
Course No.
Sect.
Title
INDICATE REASON(S) FOR WITHDRAWING FROM SNC: Check all that apply:
___ Need a break from school
___ School conflicts with work
___ Illness
___Wants to be closer to home
___ Safety concerns
___ Permanent Disability
___ Desired courses/programs not available
___ Other responsibilities are too great
___ Unable to obtain sufficient financial aid
___ Left for service in official church mission
___ Transferring to another institution
___ Called for active duty in armed forces
___ Dissatisfied with my academic performance
___ Financial Issues
___ Few people with whom I can identify
___ Left for federal foreign aid service
___ Housing difficulties (affordability/conflicts)
___Register but did not attend
___ Other (Please Explain) _______________________________________________________________
__________________________________________________________________
__________________________________________________Date: _____________________________
Student Signature
Registrar Office Use Only
Date of Withdrawal Processed in Banner and Clearinghouse: __________________
Processed Reason for Withdrawal in Banner (SPACMNT) □ Yes □ No
Students Accounts Notified □ Yes □ No
Registrar Signature: ________________________________________________
This form should be returned to the Registrar’s Office
Updated 11/17/15
Date: ____________________________