Complete Withdrawal Form

This form is intended to request a complete withdrawal from HPU and to discontinue enrollment at HPU. Students who wish to take a temporary academic leave should complete a Leave of Absence Form. [Note: An academic Leave of Absence is valid for one year and will allow you to return to HPU within that year without reapplying for admission.]

1Student Information > 2Acknowledgement
Student ID
Name Name First Middle Last
Email
Are you an international student?

Are you an international student? Yes No
International students studying in the US must depart the US immediately upon withdrawal unless there are plans to transfer to another US institution. Before submitting this form, it is recommended that all international students meet with the Office of International Students and Scholars to discuss your required departure date from the US and the termination of your VISA, if applicable. Email iss@hpu.edu.
Are you receiving Title IV Federal Aid? (i.e. Pell, student loans)

Are you receiving Title IV Federal Aid? (i.e. Pell, student loans) Yes No
Dropping classes might affect your federal financial aid and scholarships. Contact financialaid@hpu.edu for more information.
Have you discussed your withdrawal with your Academic Advisor(s)?

Have you discussed your withdrawal with your Academic Advisor(s)? Yes No
Before submitting this form, it is recommended that you meet with your Academic Advisor to discuss the impact of withdrawing from HPU. Meet your Advisor: https://www.hpu.edu/academic-advising/meet-your-advisor.html
Have you dropped all of your courses for the term through the MyHPU Portal?

Have you dropped all of your courses for the term through the MyHPU Portal? Yes, I have dropped all of my classes for this term No, I am still enrolled for at least one course this term but would like to Withdraw as of today No, I am still enrolled and will complete this term but will withdraw from HPU at the end of this term
Your official date of withdrawal from HPU will be effective the date you dropped your last course via Self-Service through the MyHPU Portal.
Upon receipt of this form, the Registrar's Office will drop or withdraw you from all courses that you are registered for this term. The official date of withdrawal from HPU will be effective the date that you submit this form.
The Registrar's Office will leave you enrolled in your classes for this current term and will withdraw you from HPU effective the end of this current term.