Request Forms - Acacia

Course Withdrawal Request Form

A course withdrawal will be recorded as a “W” on the student’s transcript. If more than 50% of the course is completed, the student cannot withdraw and will receive the grade earned regardless of attendance from that point.

School Name

Student IDIf you're not sure about Student ID, click here

Full Name

Program Name

Course Code and Name

Additional Details

I confirm that the information provided is accurate and understand that my request will be reviewed under the applicable Acacia University policies.

Program / University Withdrawal Form

University withdrawal is cancelling your enrollment for all courses and leaving the University altogether. Simply dropping courses or non-attendance does not constitute an official program / university withdrawal. If you decide to formally withdraw from the University, you must drop all courses and submit the program / university withdrawal form, in any manner, to the Office of Registrar & Admissions to update your academic status.

Tuition Refund Request Form

A student’s tuition liability is limited to the academic term in which the student officially withdraws or is administratively withdrawn. No refunds will be issued for prior terms that have been completed. For more information, please visit the university’s refund policy.

Leave of Absence Form

A student requesting a Leave of Absence must formally submit a request to the university for approval. The leave period and conditions are subject to university policies and approval. For more information, please refer to the university’s Leave of Absence policy.

University Form Requests

Course Withdrawal Request Form

Program / University Withdrawal Form

Tuition Refund Request Form

Leave of Absence Form

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