REG - Course Withdrawal - P2 - First Semester Freshman - Advisor Approval (please note a $20 fee will be assessed)

Office of Registration and Records
(585) 395-2531
registrar@brockport.edu

Instructions for the Advisor

• Review the contents, complete the Advisor Approval section, and then submit. If you were listed as the advisor in error, please indicate that information below.

• For more information on withdrawal and late withdrawal deadllines, visit the Registration Dates and Deadlines web page.
STUDENT INFORMATION
Name Name First Last
Student Email
Banner ID
Must be 9 digits. Currently Entered: 3 digits.
Class Year

First semester freshmen are required to obtain added permissions
Semester/Term

ex: Fall 2019, Spring 2020, etc.
Student lives on campus:

For questions concerning how this request might affect housing, contact Residential Life at housing@brockport.edu or 585-395-2122
WITHDRAWAL INFORMATION
This form is to initiate: (regular withdrawal, late withdrawal)

Indicate "regular withdrawal" or "late withdrawal"
check dates and deadlines
CRN

usually 4 digits: 1234
Subject

Example: ENG
Number

Example: 390
Section

Example: 01
Number of credits
Course Title
Late Withdrawal Documentation

Withdrawals from a course after week ten must be approved by the Department Chair.

REMINDER: Approval for withdrawals after the drop deadline for the course in question is given only for illness and/or unusual circumstances. Students may not withdraw simply because they are experiencing academic difficulty. For additional information regarding extenuating circumstances, please see "Withdrawal Process" in the Student Right-to-Know Policy.
Describe in detail the reason(s) for requesting a late withdrawal.
ADVISOR APPROVAL
Advisor's BannerID
Must be 9 digits. Currently Entered: 3 digits.
Your BannerID authenticates your approval/denial via the submission of this form.
Advisor's Name
Submit your response (SELECTED RESPONSE INDICATES STATUS)

Submit your response (SELECTED RESPONSE INDICATES STATUS) APPROVED DENIED INCORRECT ADVISOR/ DENIED
Explain reason for "Deny"
Department of Course Subject
Advisor's Email
Reference Entry No. of Course Withdrawal - First Semester Freshman Request
Date Student Authorized Course Withdrawal - First Semester Freshman Request (when requested)

REG - Course Withdrawal - P2 - First Semester Freshman - Advisor Approval (please note a $20 fee will be assessed)

Instructions for the Advisor

STUDENT INFORMATION

WITHDRAWAL INFORMATION

Late Withdrawal Documentation

ADVISOR APPROVAL