ONLINE WITHDRAWAL FORM


Student Number (SSN or Colleague ID)  
Name
Address
City

State

Zip
School Classification
       
I hereby resign as a student at the University of West Alabama for the Session,  
       
Reason for Withdrawing
 
       
If this withdrawal is being processed because of medical reasons, a statement from the student's physician verifying the illness must be provided in order to receive any appropriate refunds.

Recipients of Title IV Federal Financial Aid are required to have their funds prorated based on the number of days of enrollment.  This proration is effective through 60% of the term.  All Title IV repayments are charged to the student's account and are the responsibility of the student.