CPS Professional Education Withdrawal Request Form

Students must petition the College for a withdrawal from their course(s) if there are extenuating circumstances (i.e. deployment, extreme medical emergencies, natural disasters, etc.) by completing the withdrawal form and providing supporting documentation.

Non-attendance does not constitute withdrawal from the University.

Students may be terminated for failure to meet course requirements as determined by their instructor.

All fields marked with an * are required.

Student Full Name *

Villanova ID

Email Address *

Date of Birth *

Semester

Are you a Veteran? * Yes No

Are you receiving Veteran Benefits? * Yes No

Program or Course Name

Please enter the following information about your course or program. If you are withdrawing from 2 course, please fill out the 2nd column.

Course Name *

Course Number *

Instructor *

Course Start Date *

Online or On-Campus *

Course Name

Course Number

Instructor

Course Start Date

Online or On-Campus

Supporting Documentation (Required)

Please upload supporting documentation that explains the reason for your withdrawal. If the reason is Medical please attach reason and supporting Doctor’s Note.

Reason for Withdrawal *

Upload your Documentation here *

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CPS Professional Education Withdrawal Request Form

Supporting Documentation (Required)

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