Honors Withdrawal Form

Name*

Please enter your first and last name.

Campus E-mail Address*

Please enter your university e-mail address.

Anticipated Graduation*

Please enter the semester and year you intend to graduate.

I wish to withdraw from:*

Select all that apply.

Honors in the Liberal Arts
Honors in the Major

for the following major:*

I have talked to an academic advisor about my decision to withdraw.*

We strongly encourage you to meet with an Honors Program advisor (for HLA) or major advisor (for HM) prior to formalizing your withdrawal from Honors. Reviewing your record with a qualified advisor can help you confirm whether graduation with Honors is feasible and may reveal new options and opportunities.

Yes
No

I am withdrawing from this Honors degree track for the following reason(s):*

Select all that apply.

I am not interested in the available Honors courses.
I have had difficulty finding appropriate Honors courses.
I have decided to pursue Honors in the Major instead of Honors in the Liberal Arts.
I have prioritized non-Honors programs or credentials.
I will not meet the GPA requirements for Honors.
I do not have time to complete the credit requirements before graduation.
I have not enjoyed my experience in the Honors Program.
Other

Other reason for withdrawal:*

Feedback to the L&S Honors Program

The Honors Program would appreciate any feedback you have about your experience in the program and suggestions that could help us support future students. You can provide that feedback on this form, via e-mail, or during an in-person appointment.

Signature*

Please type your name again as confirmation that you wish to withdraw from the L&S Honors degree plan indicated above.

Today's Date

Email

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