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Home
Become a Student
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Academic Programs
Continuing Education
About ECC
Community
Student Portal
Academic Success
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Catalog/Handbook
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Find Your Advisor
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Official Course Withdrawal
This form is completed by an instructor.
Student Name
(Required)
First and Last Name
Student ID Number
(Required)
(Do NOT enter SSN)
Student Email Address
(Required)
Instructor Name
(Required)
Instructor Email
(Required)
Office Phone Number
(Required)
Course Number and Section
(Required)
Last date of attendance
(Required)
MM slash DD slash YYYY
How did you contact this student to discuss course standing?
(Required)
Select...
Email
Call
In-person
Starfish
When did you last contact this student?
(Required)
MM slash DD slash YYYY
Reason for course withdrawal
(Required)
Select...
Child care
Course load too heavy
Course not what student expected
Course too difficult
Death in family
Discipline
Employment
Excessive absences
Financial
Illness
Military deployment
Misadvised
Personal
Relocation
Student has demonstrated that he/she does not intend to pursue the learning objectives of the course
Transportation
Withdrawal Grade
(Required)
Select WP or WF only after last day to withdraw
Select...
W
WP
WF
Hidden
Withdrawals due to coronavirus
Check this box if the reason for this request is related to the coronavirus (COVID-19).
Hidden
Withdrawals due to coronavirus
Check this box if the reason for this request is related to the coronavirus (COVID-19).
Hidden
Withdrawal Grade - Archive
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