NOTICE OF OFFICIAL WITHDRAW FROM ARCADIA UNIVERSITY
______________________________________ Name ______________________ Arcadia User ID Class:SR JR SO FR (circle one)
_____________________ Status:___ part-time ___ full-time Major 1. Resident or Commuter? (circle one) 2. Recipient of financial aid? YES NO (circle one)
3. Why did you originally choose Arcadia University? (if more than one reason, rank using 1,2, etc.) ___Proximity to home ___Availability of financial aid ___Academic reputation of the University ___Not accepted at the school I would have preferred to attend_______________________________ ___Recommendations of my peers and family Name of the school ___Particular field of study ___Study abroad opportunities ___Other (please specify)______________________________________________________________ 4. When you first enrolled, did you intend to complete a bachelor’s degree at Arcadia University? YES NO ( circle one) 5. Reasons for Withdraw: (if more than one reason, rank using 1,2,etc..) A. Personal Reasons ___Medical or health-related. Do you plan to return?__________When?________________________ ___Goals since entering the University have changed. (please describe)_________________________ __________________________________________________________________________________ ___ Change in personal situation; e.g., marriage, moving, other. (please describe)_________________ __________________________________________________________________________________ ___ Experienced personal problems ___ Felt alone or isolated ___ Conflicts with roommate(s) ___ Trouble balancing school and home (commuter) ___ Other reasons (Please explain)_____________________________________________________
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B. Financial Reasons: ___ Financial aid situation ___ Change in work schedule (need to work full or part time)_____________________ ___ Other (please explain)_______________________________________ C. Academic Reasons ___ Academic advising ___ Attitudes of faculty and/or staff ___ Course work load ___ Course content ___ Program or major not offered ___ Other (please explain)____________________ D. Institutional Reasons ___ Social Activities ___ Athletic activities ___ Food services ___ Residence halls ___ Parking ___ Security ___ Other (please explain)___________
E. Other Reasons ___ Wanted a larger school ___ Wanted a school closer to home ___ Wanted a school farther away from home ___ Other (please explain)_______________________________________ 6. If you are transferring, please list the name of the school. _________________________________________________________________ 7. Did you make use of any of the following services or staff/faculty provided on campus prior to making your decision to withdraw? ___Counseling Center ___Career Services ___Faculty Advisor ___Tutoring Services ___First Year Advisor (Dennis Gallagher) ___Academic Dean’s Office (Bruce Keller) ___Gateway/ACT 101 Counselor ___Residence/Commuter Life Staff ___Student Services Center 8. If one thing that could have been changed in your situation at Arcadia University to encourage you to stay, what would it be? __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Student Signature Date ________________________________ Date Withdraw is Effective _______________________ Last Term Enrolled
Please return completed withdrawal form to: Assistant Dean for Academic Advising & Placement, Taylor Hall, Room 108A.
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