Course Withdrawal "*" indicates required fields Before You Proceed Withdrawing from a course may adversely affect you. It may affect your athletic eligibility, your VISA status (international students), and/or reduce your VA education benefits. You are strongly encouraged to consult with appropriate offices before submitting this form. By submitting this form, you assume all risks and full responsibility for its impact on your enrollment at and graduation from Montreat College. If you type the email address of your advisor or professor incorrectly, they will not receive this form. Before you submit the form, we encourage you to verify the correct spelling of email addresses on the directory.Student Name* First Middle Last Student Montreat Email* Student ID* Semester* Fall Spring Summer Year* Advisor* Advisor Email* Withdrawn CourseCourse prefix & number (Example: ENGL 1111)* Section number* Credit Hours* Course Title* Name of Course Instructor* Email of Course Instructor* ConclusionAre you using VA benefits?* Yes No Affirmation for a student using VA Benefits* I am responsible for clearing this withdraw with my VA Representative. Are you an Athlete?* Yes No Affirmation for Athletes* I am responsible for clearing this withdraw with my Coach. Are you an International Student?* Yes No Affirmation for International Students* I am responsible for clearing this withdraw with my DSO. Are you a Senior? (graduating in 3 semesters or less?)* Yes No Affirmation for Seniors (graduating in 3 semesters or less)* I am responsible for clearing this withdraw with my Academic Advisor. Student Electronic Signature* I agree and acknowledge that this document can be executed electronically and it is binding in every way as if signed by my hand.Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Δ
