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Get Jacksonville State University Student Withdrawal Form 2010-2024

Office of the Registrar Jacksonville State University STUDENT WITHDRAWAL FORM PLEASE PRINT Date Term Withdrawing Student Number Last Name First Name Middle Initial Address Phone E-Mail Before submitting this form please read the following If you live in University Housing please note Housing refunds are processed in accordance with tuition refunds. If you withdraw prior to completing 60 percent of a term you could be required to repay a proportionate amount of the funds you received. Withdrawal could also affect the repayment status of loans you received this semester and/or prior terms. Should you have any questions regarding this please contact the Financial Aid Office PRIOR TO COMPLETING THIS FORM Deadline dates both Academic and Financial are listed on the Academic Calendar. Students who withdraw must immediately notify the Department of University Housing and Residence Life. You are required to properly vacate your housing assignment within 24 hours of the withdrawal* Failure to properly vacate within the allotted 24 hours may result in a hold over charge. If you are receiving a Logan Walker Loan or State Nursing Scholarship you must clear through Loan Collections 245 Bibb Graves Hall* Graves. If you receive Financial Aid please note Federal regulations governing repayment of financial aid funds due to withdrawal changed August 31 2000. If you withdraw prior to completing 60 percent of a term you could be required to repay a proportionate amount of the funds you received* Withdrawal could also affect the repayment status of loans you received this semester and/or prior terms. Should you have any questions regarding this please contact the Financial Aid Office PRIOR TO COMPLETING THIS FORM Deadline dates both Academic and Financial are listed on the Academic Calendar. Return this form to the Registrar s Office for processing* Mail to Jacksonville State University Registrar s Office 700 Pelham Road North Jacksonville AL 36265 or fax to 256 782-5121. Students who withdraw must immediately notify the Department of University Housing and Residence Life. You are required to properly vacate your housing assignment within 24 hours of the withdrawal* Failure to properly vacate within the allotted 24 hours may result in a hold over charge. You are required to properly vacate your housing assignment within 24 hours of the withdrawal* Failure to properly vacate within the allotted 24 hours may result in a hold over charge. If you are receiving a Logan Walker Loan or State Nursing Scholarship you must clear through Loan Collections 245 Bibb Graves Hall* Graves. If you are receiving a Logan Walker Loan or State Nursing Scholarship you must clear through Loan Collections 245 Bibb Graves Hall* Graves. If you receive Financial Aid please note Federal regulations governing repayment of financial aid funds due to withdrawal changed August 31 2000. If you receive Financial Aid please note Federal regulations governing repayment of financial aid funds due to withdrawal changed August 31 2000. If you withdraw prior to completing 60 percent of a term you could be required to repay a proportionate amount of the funds you received* Withdrawal could also affect the repayment status of loans you received this semester and/or prior terms.

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