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College of Engineering

Withdrawal from Combined Degree Program

Please enter all information and submit this form.

First Name:

Last Name:

Date:

Student ID#:

Email:

I am withdrawing the degree of

In the College of: Engineering Liberal Arts

I intend to continue a degree in:

In the College of: Engineering Liberal Arts

I understand that I am withdrawing my participation in the Combined Degree Program

_______________________________________________________________________________________

Thank you! Your form will be submitted to the Student Records Manager, Megan Allen.