Policy Withdrawal Request

Before you submit this request, obtain approval from the Responsible Cabinet Member listed at the end of this form.

POLICY NAME AND LOCATION
Policy Name
Maximum of 100 characters allowed. Currently Entered: 0 characters.
Link to existing policy (or attach pdf, if not found on our policy webpage)
Upload a File
maximum 5 files whose total size may not be more than 10MB
filenames should not contain more than one period (.)
EFFECTIVE WITHDRAWAL DATE
Date on which policy should be withdrawn from public view Date on which policy should be withdrawn from public view / MM / DD YYYY
REQUESTOR'S CONTACT INFORMATION
Name Name First Last
Email
Contact Phone Contact Phone - ### - ### ####
Division

Division Academic Affairs Administration & Finance Advancement & Communications Enrollment Management Student Affairs
Department or Unit
REASON FOR WITHDRAWING THIS POLICY
List Reasoning (i.e.: State mandated, covered by another policy, etc.)
Maximum of 350 characters allowed. Currently Entered: 0 characters.
If another policy(ies) or guideline(s) is/are to be used after this policy is withdrawn, please provide the link(s)
Enter Link
Enter Link
RESPONSIBLE CABINET MEMBER
The Responsible Cabinet Member is listed near the top of the policy.

The Responsible Cabinet Member is listed near the top of the policy. Provost / VP for Academic Affairs VP for Administration & Finance VP for Advancement & Communications VP for Enrollment Management VP for Student Affairs President