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Name of Student Pursuing a Complete Withdrawal

Student's First Name

Student's Middle Initial

Student's Last Name

Student's Sooner ID Number

Who Are You?

I am a student at OU who is wishing to pursue a complete withdrawal
I am a family member/guardian of a student at OU who is submitting a complete withdrawal on their behalf
I am a faculty/staff member at OU

Your Name

Your First Name

Your Last Name

Your Email Address

Your Phone Number

Student's Phone Number

Student's Current Email Address

Parent or guardian cell phone (if applicable)

Student's College

Student's Major(s)

Are you still attending your courses?

Yes
No

Please list each course you're enrolled in and the last day you attended each course

Please describe, in detail, your reason for requesting a Complete Withdrawal from OU

Support services needed to make a successful return to OU

If this is an emergency situation (involving hospitalization, crisis, etc.), please contact the Academic Advising Resource Center at (405) 325-1596 and specify that you need immediate assistance with a Complete Withdrawal.

After completing this form, you must meet with your college advising office. Please bring documentation supporting your request for a Complete Withdrawal. Supporting documentation could include, but is not limited to: a letter of support from a doctor, counselor, spiritual advisor or individual familiar with the circumstances surrounding your request for a Complete Withdrawal.