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Late Semester Hardship Withdrawal Request

Personal Information
I am
Provider information
Please provide your information.
Semester Information
Semester
Is it past the 70% mark of the semester you’re requesting?

STOP HERE!

Your request will NOT be processed. You must withdraw yourself in your Online Center.

Class Information
Course Prefix & Number: Credit Hours: Approximate Last Date Attended: Operations
Aid Information
Have you previously requested a Late Semester Hardship Withdrawal?
Did you receive Financial Aid (grants, loans, scholarships) or Veterans/Military Benefits?


A withdrawal may result in a need for you to repay money that was dispersed. It is your responsibility to investigate with appropriate campus offices.

Financial Aid - (616) 234-4030
Veteran's Benefits - (616) 234-4129
​​​​​​​Cashier Office - (616) 234-4020

Narrative and Documentation

Narrative and documentation information that may be helpful to provide:

  • Dates of the cited hardship.
  • Explanation of how the hardship impeded the ability to be successful in the class (or unable to attend).
  • Supporting documentation such as letter(s) from a healthcare provider.
  • Occasionally students may wish to withdraw from one class during a semester while remaining enrolled in other classes. In these circumstances it is helpful to provide a brief explanation why this is the case.
One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Signature

By submitting this form I confirm that all the information submitted here is accurate.

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