Course Withdrawal Form

• If you decide to withdraw from an independent learning course, please fill out the request form below. (Items noted with an asterisk* are required.) Please allow 3 business days for our office to process your request.
• A "W" will appear on the transcript if the student withdraws from the course within the first four months of enrollment. Please be advised that there may be a withdrawal fee assessed to the student if they withdraw after the first week. A student may not withdraw from their course after the first four months of enrollment or after having taken their final exam or completed all the course work required.
• If you would like to transfer to another independent learning course, please contact Independent Learning at il@wku.edu or (270) 745-4158 for more information.

Course Information

Today’s Date
*Course Title (e.g. ENG 100)
When did you register for the course?
*How did you pay for the course?	Please select a payment method Financial Aid Online WKU Tuition Waiver Military Cash Credit Card Check Other

Your Contact Information

*Your name
*WKU ID#
Street address
City
State
Zip Code
Your email address
Your phone number

Reason for Withdrawal

*Please tell us why you are withdrawing from this course.