Withdrawal from Merrimack College

Students may discontinue their education by notifying both the Registrar’s Office and the Dean of Students in writing of their intention to withdraw. Oral notice is not sufficient. Withdrawal based on an honorable dismissal entitles the student to a refund of tuition and room and board charges according to the schedule given in the current college catalog.

I am a...

an Undergraduate Student

a Graduate Student

Undergraduate Student

Graduate Student

First Name

Last Name

Merrimack ID

Merrimack Email Address

Personal, Non-Merrimack Email Address (we'll send communications to this address)

Are you an international student on an F1 Visa?

Yes

No

I don't know / I'm not sure

Are you a residential or commuter student?

Residential

Commuter

Withdrawal Effective Date:
The date of withdrawal will be posted as the date the College Withdrawal form was submitted unless a future date is requested. There are no retroactive withdrawals.

Last Date of Attendance:
The last date on which you participated in classes, including attending lecture or lab, turning in an assignment, or taking an exam.

What are your plans after you withdraw?

Attending another college

Enlisting in the military

Pursuing employment opportunities

Other

School CEEB

Please indicate which college you will be attending. (Please begin typing and select from the drop-down menu.)

Please describe your plans after withdrawing from college.

Are you planning to pursue...

Full-Time Employment Opportunities

Part-Time Employment Opportunities

What factors influenced your decision to withdraw? (check as many as apply)

What parts of your academic experience were you dissatisfied with?

Please describe your reason for withdrawing.

Please explain more about your athletics situation.

Financial Aid Acknowledgement

I acknowledge that withdrawing from Merrimack College may have implications for any financial aid I have received, including a reduction in financial aid or the initiation of the grace period that precedes loan repayment, followed by loan repayment.

By submitting this form I hereby officially request to withdraw from Merrimack College on the effective date stated above.

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Withdrawal from Merrimack College