Graduate Studies College Withdrawal

Graduate students withdrawing from SUNY Plattsburgh should consult with their department chair prior to the last ten calendar days of the semester (this form may not be processed thereafter). The students' transcripts will reflect W (withdrawn) grades for classes not completed.

Financial Aid Recipients: Consult with a financial aid advisor to determine the impact upon your financial aid before processing a college withdrawal (or withdrawing from all courses).

International Students: To remain in compliance with U.S. immigration regulations, F-1 or J-1 visa holders should contact the Global Education Office before withdrawing from studies.

Name Name First Last
Student Banner ID Number
Program
Permanent Address Permanent Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Non-Campus Email Address
Last date of class attendance Last date of class attendance / MM / DD YYYY
Please select 1:

Please select 1: I plan to return to graduate study at SUNY Plattsburgh in the future.
* Prior to your return to Plattsburgh, you must file an Intent to Return form with the Registrar’s Office to reactivate your access to Banner and the student portal. This form is available from the Registrar's Forms page. I am not sure when I will return, but I intend to finish my graduate degree at Plattsburgh and want to stay in contact.
*Prior to your return to Plattsburgh, you must file an Intent to Return form with the Registrar’s Office to reactivate your access to Banner and the student portal. This form is available from the Graduate Admissions Office or online at www.plattsburgh.edu/admissions/graduate. I do not plan to continue my graduate study at Plattsburgh and would like to withdraw permanently.
*You will not be contacted further in connection with your graduate studies.

Intent to Return form

Rules regarding how long you have to finish your degree and use your transfer credits will apply when returning to graduate studies. If you’re still within those time limits, you can submit an “Intent to Return” form to the Registrar’s Office.
Reason For Withdrawal

Reason For Withdrawal Personal Financial Work Family Academic Military* (If activated, attach orders) Other Other
Withdrawal Date Withdrawal Date / MM / DD YYYY
Student's Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
NOTE: All students granted a college withdrawal or withdrawing from all courses through the course withdrawal process relinquish the right to use all college services and privileges.

NOTE: All students granted a college withdrawal or withdrawing from all courses through the course withdrawal process relinquish the right to use all college services and privileges. I agree to these terms
CONTACT US

Office of the Registrar
3rd Floor Kehoe Administration Building
101 Broad Street
Plattsburgh, NY 12901
Phone: 518-564-2100
Fax: 518-564-4900
registrar@plattsburgh.edu

Graduate Studies College Withdrawal

Graduate Studies College Withdrawal

CONTACT US