University of Fort Lauderdale All Rights Reserved 2010 - UFTL Registrar Student Withdrawal Form

Student Withdrawal Form

Note: Please accept this signed form as authorization of my Student Withdrawal from the University of Fort Lauderdale.
* = Required Fields

First Name *

Date of Withdrawal

Last Name *

Student ID#

Course #

Semester

Year

Course Title*

Student ID#

Credits

Day

Instructor’s Name

Time

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