Name: WID:
Credits earned: Entering Year:
Today's Date: Major: Adviser:
If during the semester, what was the last date you attended class?
I hereby provide notification that I plan to withdraw from Whitman College
When would you like the change of enrollment to begin?
Immediately End of Fall Semester End of Spring Semester
Why did you decide to leave Whitman College? (check all that apply)
Financial Personal Travel Work Major/Program
Transfer Academic Health Other
Explanation:
Do you plan to transfer to another College or University? Yes No
If yes, where?
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_____________________________
Student’s Signature/ Date
Exit Interviewer's Signature/ Date
Clearance is required of all students. Amounts owed Whitman College other than Stafford or Perkins are due and payable at the time of withdrawal.
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Date
By
