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— Withdrawal From Seminary/Boyce —
Student Withdrawal
Marked
labels indicate required fields.
Student Information
Name
ID
Phone
Email
Present Address 1
Present Address 2
Present City
Present State
AL
AK
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Present Zip
Future Phone
Future Address 1
Future Address 2
Future City
Future State
AL
AK
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Future Zip
Withdrawal Information
First Enrollment Date
Current Degree Program
Withdrawal to be effective
Fall
Spring
Are you receiving veteran's benefits?
yes
no
Are you living in seminary housing?
yes
no
Do you plan to seek readmission?
yes
no
If yes, when?
At least two months prior to readmission, students should contact the Admissions Office.
Please state your reasons for requesting withdrawal and outline your plans for the immediate future
