Withdrawal Form

The course Withdrawal Request Form needs to be completed BEFORE submitting the final lesson or taking the final exam. If you do not complete all your coursework or withdraw from your course, an "F" will be permanently recorded on your transcript.

If you have questions about your enrollment date, completion date, or your status in the course, please contact our office prior to completing this form. Once this withdrawal form is submitted and processed, it is final and cannot be undone.

Please allow up to 14 days for refunds.

Refund Policy

If UND receives your withdrawal request 1 to 30 calendar days after your registration date, you will be refunded 100% of the course tuition. The course will not be recorded on your transcript.
If UND receives your withdrawal request 31 to 60 calendar days after your registration date, you will be refunded 50% of the course tuition. A "W" will be recorded on your transcript.
No refunds are available if UND receives your withdrawal request 61+ calendar days after your registration date. A "W" will be recorded on your transcript.

The one-time UND Admission Fee of $35 is non-refundable.

Full Name*

Student ID No. (EMPLID)*

Mailing Address*

City*

State*

Zip Code*

Phone Number*

Email Address*

Course and Order Information:

Course Name & Number*

Order Number *

Found in Blackboard under My Grades

Reason for Withdrawal*

Digital Signature*

Please type your full name.

Date

Select today's date