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Request Cancellation of Classes

By submitting this request, notification of your intent to cancel your registration will be provided to the following offices: Registrar, Admissions, Financial Aid, Student Accounts, New Student Services, and University Residences (to cancel a housing contract, you must provide written notification).  Your registration and financial aid will be cancelled.  If you have any questions please contact one of these offices directly.

If the term has already begun, please contact the Registrar's Office for withdrawal.

*Asterisk denotes a required field.

First Name*
Middle Name
Last Name*
Student ID*
Email*
Semester Not Attending*
Reason*
Reason if Other
If enrolling elsewhere, where?
Are you planning on attending UI in the future?
If yes, when?
Request Submitted By
Relation to Student
Comments or Questions?