Early Separations Request Form

Early Separations Request Form

This form is for matriculated undergraduate students only. Contact Sherill Anderson: sanderso@brockport.edu with any questions. This form notifies the College of your intent to leave. If you are currently enrolled in classes and/or living on campus, submitting this form will withdraw you from classes and notify housing and undergraduate admissions. Submitting this form does not guarantee re-admission in a later semester. Contact Undergraduate Admissions if you wish to postpone your matriculation to a later semester.

Graduate students should contact the Graduate School for information about withdrawing from Brockport.