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Request for Withdrawal from an online course(s) with a final grade of

“W”

Semester Fall   Spring   Summer
Year
First Name
Middle Name
Last Name
HCC Email
Student ID
Student Reason for Withdrawal
(Please check one and add any comments below)

Family / Personal / Job Related
Schedule
Financial
Academic
Other

Comments  

Courses You Would Like to Withdrawal From
CRN NO. SUBJ. SUBJ. NO. SECT. COURSE TITLE SEM HRS.




Students receiving financial aid:

Withdrawing from a course, or courses, can have a significant impact on your financial aid. Withdrawing from all classes will place you on financial aid termination for any future aid, and withdrawing from one or two classes will negatively impact your overall completion rate which may affect your Standards of Academic Progress standing.  It is recommended that you contact the Financial Aid Office before withdrawing to determine how it will affect your financial aid package.

I have read the above important information regarding course withdrawal

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