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ONLINE COURSE WITHDRAWAL REQUEST

 

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

  • This form must be completed by the student requesting the withdrawal.
  • The student is responsible for payment of these classes.
  • Withdrawing from a course may have significant implications to financial aid.
  • Forms submitted after the published withdrawal date will not be processed.
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 Withdraw 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