University (Program) Withdraw Form & Survey

A student who wishes to withdraw from the university should first schedule a phone conference with or email the appropriate designated campus official. This withdrawal form should be submitted, by the student, after consultation with their designated campus official. The designated campus official is the students’ assigned program advisor (Undergrad & Certificate), program administrator (Masters), or faculty advisor (Doctorate).  

The student's grade report and transcript will reflect the withdrawal by recording all W's for that semester, session, or term (after the add/drop date). The effective date of withdrawal is noted on the the UIU Withdraw Form, which is the date the student notifies their designated campus official. The University’s Financial Aid and Business Office use the withdrawal date to determine the return of Title IV funds and the amount of refundable tuition and fees. These calculations are based on the % of completion of the semester, session or term. Students who receive federal student aid funds and who withdraw, drop out, are dismissed, or take a leave of absence prior to completing 60 percent of the term or session are subject to the Return of Title IV Aid calculation which may result in the student owing the University for unpaid tuition charges after the financial aid recalculation is performed. Therefore, it is extremely important that students consult with the Financial Aid office before withdrawing from classes and the university.

NOTE: This form includes 3 pages and consists of no more than 20 questions. Please complete all questions in entirety and ensure you click submit on the final 3rd page.