I hereby provide notification that I plan to withdraw from Whitman College 

Name: WID: Today's Date:

Credits earned:    Entering Year:

Major:     Adviser:

When would you like the change of enrollment to begin?

Immediately     End of Fall Semester    End of Spring Semester

If during the semester, what was the last date you attended class?

Why did you decide to leave Whitman College? (check all that apply)

Academic  Financial  Health  Major/Program Personal   Transfer  Travel
Work  Other

 Explanation:

Do you plan to transfer to another College or University? Yes No

If yes, where?

Business Office Clearance

Clearance is required of all students. Amounts owed Whitman College other than Stafford or Perkins are due and payable at the time of withdrawal.

Note: Withdrawal indicates a permanent end to your attendance at Whitman College. If you wish to return, you will need to apply for readmission through the Office of Admission. A leave of absence indicates that you intend to return to the College at the expiration of the leave.