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Adjunct Faculty Student Withdrawal Form
Student's Information  
  Enter student's first name.
  Enter student's last name.
  Enter student's 7 digit ID. Enter student's 7 digit ID. Student's ID must be 7 digits.
  Is the student eArmyU/CTAM?
  Is the student a High School student?
Instructor's Information  
  Enter instructor's first and last name.
  Enter a valid email address.
Course Information  
  What is the course prefix?
  What is the course number?
  What is the section number for the course?
  How many credits for the course?
    Please select the withdrawal reason.
    Enter the last date attended in mm/dd/yy format.
  Select the semester for this withdrawal.
Curriculum or CCED?
Is the course a Curriculum or Continuing Education class?
Additional Information  
  Who is the person submitting this form?
  Enter a valid email address. Enter a valid email address.