Faculty Withdrawal Form | Paul D. Camp Community College

Students who have been absent the equivalent of three of the first four weeks of class (75%) may be administratively withdrawn. The withdrawal form should be submitted before the academic penalty date. If form is received after penalty date the form will not be processed.

Faculty Information

Name *

Academic Year *

Faculty Signature *

Date

Course Begin Date

Course End Date

Students to Withdraw

Student ID (Empl ID)	Class Number	Subject	Catalog No.	Section	Campus	Last Date of Attendance

For Office of Admission Use Only

Processed By Date

Notes

* Required fields

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