Course withdrawal from Wilfrid Laurier University (joint program in Geography)

This form is for use by University of Waterloo graduate students who are registered in the joint Waterloo/Laurier Geography program and who wish to withdraw from a graduate course in the Geography and Environmental Management.

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

Student information

University of Waterloo student identification number * (required)

Last name(s) * (required)

First name(s) * (required)

Middle name(s) * (required)

Email * (required)

Date of birth * (required)

Year

Month

Day

Course information

Name of host faculty where you are registered to take the course(s) * (required)

Name of host department where you are registered to take the course(s) * (required)

Effective term * (required)

fall

winter

spring

Year * (required)

Course title * (required)

Course subject and number * (required)

(e.g. GEOG 675)

Instructor name * (required)

Credit weight * (required)

(e.g. 0.5, 1.0)

Reason for withdrawal * (required)

Acknowledgement

Student acknowledgement * (required)

I understand that this form should be completed and submitted before the course withdrawal as published in the Wilfrid Laurier University graduate calendar. I acknowledge that not submitting this form before the last date for course withdrawal may result in a failing grade on my student record for the course.

yes

Today's date * (required)

Year

Month

Day

Leave this field blank

Course withdrawal from Wilfrid Laurier University (joint program in Geography)

Graduate Studies and Postdoctoral Affairs (GSPA)