Withdraw Request Form

YOU MUST COMPLETE A SEPARATE FORM FOR EACH CLASS THAT YOU WOULD LIKE TO DROP. DO NOT ENTER MORE THAN ONE CLASS REQUEST ON A SINGLE FORM.

ONCE YOU SUBMIT THIS FORM, IT MUST BE MANUALLY PROCESSED BY VARIOUS OFFICES AT SHIPPENSBURG UNIVERSITY (SU).  

YOU SHOULD EXPECT A DELAY OF 3-4 BUSINESS DAYS BETWEEN THE TIME YOU SUBMIT THE FORM AND THE TIME YOU ARE ACTUALLY DROPPED FROM THE CLASS IN MyShip (Banner) AND D2L.  

YOUR DROP DATE AND REFUND WILL BE THE DATE ON WHICH YOU SUBMITTED THIS FORM, NOT THE LATER DATE ON WHICH YOUR PAPERWORK IS PROCESSED BY ONE OF SU'S OFFICES. (FOR EXAMPLE, IF YOU SUBMITTED YOUR DROP REQUEST ON DECEMBER 24 BUT THE PROCESSING OF YOUR PAPERWORK IS NOT COMPLETED UNTIL JANUARY 2, THE DROP DATE APPLIED TO YOUR RECORD WILL BE DECEMBER 24.)

YOU SHOULD EXPECT A DELAY OF SEVERAL WEEKS AFTER YOU FIRST SUBMITTED YOUR DROP REQUEST BEFORE YOU RECEIVE YOUR REFUND. 

Student Information

Course Information

* Indicates Required Field

 **If you should have any questions or concerns about your request, please contact the Office of Professional, Continuing and Distance Education Studies.