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Get This Form To Be Used Only When Stude - Prairie View A&m University

N Summer Spring Semester Year Name (Please print) Last First MI REASON FOR WITHDRAWAL: Please check one Academic difficulty Transferring to: (College/University Name) Employment/work Health Financial Childcare Educational Leave Housing Conflict with work schedule Family problem Military call to active duty Other: NOTE: THE STUDENT MUST TAKE THIS COMPLETED FORM TO THE REGISTRAR S OFFICE BY THE DEADLINE AS LISTED ON THE ACADEMIC CALENDAR OR THE WITHDRAWAL WILL NOT BE ALLOWED AND GRAD.

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