Study Abroad Withdrawal Form

Please discuss your intent to withdraw with your study abroad coordinator prior to submitting this form.  Once your decision is final, submit the form below to withdraw from your study abroad program. By completing this form and clicking on the submit button below, you acknowledge that your withdrawal from your study abroad program is final and irreversible.

Reason for Withdrawal
By choosing 'Medical', you will be required to submit official documentation (i.e. doctor's note) with your program name, medical reason for being unable to travel and the dates during which travel is prohibited for medical reasons to Terri West at Campus Health. Terri West: | (520) 621-6489
I understand that my decision to withdraw is final and irreversible AND I am subject to the Withdrawal Policy in my application.
I attest that the student above is presently incapacitated/incapable of completing this form. I understand that I must provide verification of the incapacity that renders the above named student incapable of completing this withdrawal without assistance. If I have chosen “medical” as the reason for withdrawal, I understand that I may be required to submit official documentation containing the information outlined above.**

**If applicable, one document can be submitted to satisfy both requirements delineated above.