Student Course Withdrawal Form
The instructions below cover information about the Student Course Withdrawal Form and how to fill out the withdrawal forms.
Table of Contents
Deadlines for Admitted Students | |
---|---|
Non-Medical Withdrawal |
Weeks 3-13 of the Semester |
Medical Withdrawal | Weeks 3-15 of the Semester |
Deadlines for Admitted Students during Winter and Summer Terms
Go to Winter Session or Summer Session
Deadlines for Students enrolled into credit courses through University Extension must check the appropriate University Extension website or contact for specific late withdrawal deadlines.
Student Enrollment Type | Check for Withdrawal Information |
---|---|
Students enrolled through Open University | Go to Open University |
Students enrolled through University Extension into degree or post baccalaureate programs |
Go to University Extension |
Students enrolled through University Extension into credit course sections within the Educator or other Professional Development programs |
Go to University Extension |
Withdrawing from a course may have financial and academic implications. It is recommended for the following students to consult with the appropriate group to understand potential impact:
Student Population | Recommended consultation group |
---|---|
Graduate Students | Consult with staff in the Graduate Studies Office (CP-950) |
International Students | Consult with Advisors in the International Student Services Office (Titan Hall Suite 1123) |
Students receiving Financial Aid | Consult with Financial Aid staff (GH-146) |
Students enrolled into course / programs managed through University Extension | Consult with University Extension |
If it is necessary for an (admitted) student to be out more than one semester, the student may be eligible for Leave of Absence.
This only applies to an admitted student.
International student (students on F or J visa) are required to:
- be enrolled full time each semester
- meet with an Advisor in International Student Services to discuss your request and avoid falling out of status
International students (students on F or J visa) that withdraw without approval from International Student Services may be considered in violation of your F or J visa status.
Drop via the appropriate method based on the time of petition during the semester:
Week 1-2 | Week 3-15 |
---|---|
Students who initiated registration through Titan Online/Student Homepage, drop within Titan Online/Student Homepage. |
|
Students who initiated registration through University Extension (in person or online) must contact University Extension. Drops cannot be completed online. |
Forms may be obtained online in the Withdrawals section of the Registrar website when the appropriate withdrawal period is open.
If students are not able to submit the Withdrawal form due to serious or compelling reason(s), please contact Registration and Records at (657)278-2380 for further assistance.
A non-medical withdrawal may be submitted from the 3rd to the 13th week and shall be granted for only the most serious and compelling reasons. Poor academic performance is not evidence of a serious and compelling reason for withdrawal.
All withdrawal requests shall require signed approval of the instructor and department chair of the course being withdrawn. These requests require credible documentation.
2. Click the checkbox to acknowledge reading the notice and then click the Click to Continue with the Withdrawal button.
- Click the checkbox to acknowledge reading the notice.
- Then click the Click to Continue with the Withdrawal button.
4. Under Contact Details, click on the Day Time Telephone No and/or Preferred Email Address field to edit your contact information (optional).
The Personal and Program Information fields will auto-populate.
7. If you are withdrawing from all listed courses, you will be prompted to confirm. Click OK.

8. If you are withdrawing from only specific courses, place a checkmark next to each course that you want to withdraw from.
12. Click on the Attach button to attach the appropriate documentation.
Be sure to review the documentation format restrictions to avoid uploading an unsupported file type.
13. Locate the document you want to attach, and then double click on the file to attach it to your withdrawal form.

14. The file is now attached. Repeat to add any additional supporting documents to your form.
Please ensure that all documentation is added as you will need to submit a new withdrawal request if you want to add additional documentation after the form is submitted.
16. Read the Student Signature statement and check the box to confirm your understanding.
The Student Signature and Student Signature Date will be populated as soon as you check the box.
A Medical Withdrawal Request may be submitted in circumstances in which a serious illness prevents the student from continuing classes and Incompletes or other arrangements with the instructors are not possible.
Medical Withdrawal is intended to be considered on a case by case basis. Full or partial medical withdrawal requests require appropriate documentation from a medical or mental health provider. Please review the Medical Withdrawal Requests: Guidelines for Appropriate Documentation and share with your medical or mental health provider.
If approved as a Medical Withdrawal, the withdrawn units will not apply toward the Undergraduate Withdrawal Limit.
It is highly recommended that students secure appropriate documentation prior to completing the online medical withdrawal form.
Students who seek a full or partial medical withdrawal should secure appropriate documentation prior to completing the online medical withdrawal form.
Students must obtain appropriate original documentation from a medical or mental health professional that verifies the condition that impairs the student’s ability to function safely and successfully in the course or courses the student seeks to withdraw.
Original medical or mental health documentation must be on official letterhead and include:
- Date of the onset of your accident or illness
- Indicate why you are incapable of continuing the class(es)
- Explain how or why this medical or mental health condition does not impact the student’s performance in the classes being retained for a grade
- Name and title of medical or mental health professional
- Phone number of facility
- Signature from medical or mental health professional
Samples of documentation from medical providers can also be found on the Guidelines for Medical Withdrawal Documentation page on the Registration and Records website.
PLEASE NOTE:
If your medical or mental health provider is from the Student Health Center or Counseling and Psychological Services (CAPS), the Attendance Verification form will not meet this documentation requirement.
Consult with your doctor or counselor about your Partial Medical or Mental Health Withdrawal request and show them this document for clarification. Request appropriate documentation.
2. Click the checkbox to acknowledge reading the notice and then click the Click to Continue with the Withdrawal button.
- Click the checkbox to acknowledge reading the notice.
- Then click the Click to Continue with the Withdrawal button.
4. Under Contact Details, click on the Day Time Telephone No and/or Preferred Email Address field to edit your contact information (optional).
The Personal and Program Information fields will auto-populate.
7. If you are withdrawing from all listed courses, you will be prompted to confirm. Click OK.

8. If you are withdrawing from only specific courses, place a checkmark next to each course that you want to withdraw from.
12. Click on the Attach button to attach the appropriate documentation.
Be sure to review the documentation format restrictions to avoid uploading an unsupported file type.
13. Locate the document you want to attach, and then double click on the file to attach it to your withdrawal form.

14. The file is now attached. Repeat to add any additional supporting documents to your form.
Please ensure that all documentation is added as you will need to submit a new withdrawal request if you want to add additional documentation after the form is submitted.
16. Read the Medical Withdrawals statement and Student Signature statement. Then check the box to confirm your understanding.
The Student Signature and Student Signature Date will be populated as soon as you check the box.
Need More Help?
Faculty/Staff - contact the IT Help Desk at [email protected] or 657-278-7777.
Students - contact the Student IT Help Desk at [email protected] or 657-278-8888.