Withdrawal Request

You may submit your noncredit course withdrawal with this online form. You will receive confirmation from a staff member once your withdrawal has been approved and processed. All fields are required.

Contact Information

Student First Name:

Student Last Name:

E-mail Address:

Daytime Phone:

Course Withdrawal Information

Course Withdrawal Title:

Course Number:

Program Area:

Course Start Date:

Was this a UR tuition remission registration? Yes No

Reason for Withdrawal:

Request Type

Transfer: Please indicate new course title, number and start date below

Title:

Number:

Start Date:

Refund: Please review carefully the School’s withdrawal and refund policy.

Withdrawal: I am ineligible for or do not wish to receive a refund or transfer.

Please type your intials here to indicate that you have read and understand the School’s withdrawal and refund policy:

Contact Information

Withdrawal Request

Tuition Remission Registration *
Request Type *

Confirmation

Enter your initials below to indicate that you've read the SPCS Withdrawal & Refund Policy.