Change of Enrollment Form



* Required to submit this form

* First Name:
* Last Name:
* E-mail Address:
* Phone:  

Accelerated Degree Programs Drop/Withdrawal Refund Policy

Change in Enrollment Form Received Tuition Refund Grade on Transcript
Prior to scheduled second night of class 100%, textbook fee applies Drop, Course/Grade will not appear on transcript
Prior to scheduled third night of class 75% refund, no textbook fee applies Withdrawal, Course/W will appear on transcript
Prior to scheduled fourth night of class 0% refund, no textbook fee applies Withdrawal, Course/W will appear on transcript
On the final day of last scheduled class 0% refund, no textbook fee applies Withdrawal Fail (WF) will appear on transcript

Your change in enrollment status may have an impact on your financial aid and/or veterans benefits.  Please contact the Financial Aid office at 610-921-7515 for more information.

If you are dropping or withdrawing from a course within your major, please be advised that it may be a prerequisite for upcoming courses in your major.  Janelle Bentz, Operations Coordinator of ADP, will contact you with more information regarding making this course up with another cohort.

Please complete the following:

* Course name(s) & number(s):






* Date the course began or is scheduled to begin:

* I am requesting to be: 

* Is this a permanent withdrawal or do you intend to continue your education at Albright College in the future? 

* Reason for your drop or withdrawal: 
If “Other,” please describe:
* I understand the potential financial and academic implications listed above regarding withdrawing from my course(s) and/or the program at this time.

If you have any questions regarding drops or withdrawals, please contact Janelle Bentz at jbentz@albright.edu or 610-921-7594.

Please enter red letterr from the following image exactly as it appears: (Required)