eWithdrawal

Contact us at records@bishop.edu
STOP: If you are a Pell Student and have not communicated with a financial aid advisor, please do so NOW before continuing.
Please view the Academic Calendar for Last Day to Withdraw from a Course.

First Name

Last Name

Bishop State Email Address* Please use your Bishop State email address.
Your email will look similar to this example: jdoe0101@bishop.edu .

Student Number

Please enter your 9-digit A-number.

Telephone Number

Todays Date

Semester

Fall
Spring
Summer

Are you receiving VA Benefits

Are you totally withdrawing from all classes currently listed on your schedule for this semester?

If yes, be sure that you pay close attention to the information regarding the Return (Repayment) of Title IV Aid. Financial penalty may apply.

List all Course(s) from which you wish to withdraw below
Include the Course(s), Number(s), and Title(s) - Example: ENG101, English Composition 1, or AUM111, Automotive Electrical Systems, etc.

I have read and I understand the policies regarding withdrawal, the Return of Title IV Aid, and College refunds.

Full Name

Course #1

Enter the withdrawal information for Course 1

1. Have you attended the class(es) or if online, have you submitted any work/assignment in the class(es)?

Course #2

Enter the withdrawal information for Course 2

2. Have you attended the class(es) or if online, have you submitted any work/assignment in the class(es)?

Course #3

Enter the withdrawal information for Course 3

3. Have you attended the class(es) or if online, have you submitted any work/assignment in the class(es)?

Course #4

Enter the withdrawal information for Course 4

4. Have you attended the class(es) or if online, have you submitted any work/assignment in the class(es)?

Course #5

Enter the withdrawal information for Course 5

5. Have you attended the class(es) or if online, have you submitted any work/assignment in the class(es)?

Course #6

Enter the withdrawal information for Course 6

6. Have you attended the class(es) or if online, have you submitted any work/assignment in the class(es)?

Course #7

Enter the withdrawal information for Course 7

7. Have you attended the class(es) or if online, have you submitted any work/assignment in the class(es)?

Course #8

Enter the withdrawal information for Course 8

8. Have you attended the class(es) or if online, have you submitted any work/assignment in the class(es)?

Signature

Student Questionnaire
Please complete this questionnaire as honestly as possible as this helps us improve the services that we provide to you.

Are you a first time/new student at the college this semester?

Is this your first time withdrawing from a course this term?

Are you aware that Total Withdrawal of all classes may cause you to repay tuition/fees?

All students should give instructor an opportunity to resolve the issue before withdrawing.

Did you receive Financial Aid counseling prior to withdrawing

Did you discuss the need to withdraw from the class with your Instructor prior to withdrawing?

Is the course(s) you are withdrawing from an online or in class? If both, list the online course(s) in the textbox below

Online
In Class
Hybrid (Both in class and online)

Regarding taking Online course(s), what challenges did you experience with the online course(s)?

(Check all that apply)

Difficulty with course content
Lack of Online Support
Lack of Computer skills/knowledge
No problem with Instructor
Software/Hardware issues
Lack of Instructor Response (email, text, blackboard, etc)
No problems with Course
Other

Personal Email Address