Withdrawal From a Course

A signed Withdrawal Form must be filed in the Office of Records and Registration no later than Friday, November 2, 2025. The grade of W will be recorded on the permanent record.

Continue to attend class until you receive an email notification that confirms your request has been processed.

Students are not permitted to withdraw from a course during the week of semester examinations.

NOTE: Twelve semester hours or more are required for full-time enrollment status.

Name Name First Middle Last
Student ID
Campus email:

Examples: doe1234@student.waynesburg.edu; john.doe@student.waynesburg.edu
Do you receive educational benefits from the Veteran's Administration?

Do you receive educational benefits from the Veteran's Administration? Yes No
Academic Term
Academic Year
Course ID/Subtype/Section you wish to withdrawal from:

Please review your schedule in Self Service, if necessary, to confirm. Example:
ENG 102/Lecture/16
Course Title:
Course Instructor: Course Instructor: First Last
Academic Advisor:
Advisor Name
Will you be less than full-time (i.e., 12 semester hours) if this request is processed?

Will you be less than full-time (i.e., 12 semester hours) if this request is processed? Yes No
Are you a resident student?

Are you a resident student? Yes No
Reason for requesting this withdrawal:
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.