Withdrawal Form | Welch College

Student Name
First Last
Student Email
Student Address
Street Address City State / Province / Region
Term from which you are withdrawing:
Reason for withdrawing*
Date*
Date Format: MM slash DD slash YYYY
STUDENT'S SIGNATURE: By signing/initialing, I acknowledge that I must submit a readmit form and that the admissions committee must approve me again in order to resume classes at Welch College.*

Anna McAffee
Call: 615-675-5260
Fax: 615-296-0400
Email: amcaffee@welch.edu