Albion College Office of the Registrar

COURSE WITHDRAWAL FORM
Forms are valid only through the official withdrawal date
*see the Academic Calendar

NAME:
PHONE:	EMAIL:
STUDENT#	DATE:
SEMESTER:	SUBJ:
CRN (4 digit #)	COURSE #
COURSE TITLE:
Student's Signature:
Date:
Advisor's Signature:
Date:
Instructor's Signature:
Date:
If withdrawing from this class puts you below 3 units please check with your advisor to ensure it does not affect your anticipated graduation date. Note: You will not receive a refund of course fees when withdrawing from a course.

Submit Completed Form to the Office of the Registrar.

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Last Modified 09/14/06

Albion College ◦ Albion, Michigan ◦ 517/629-1000