Select final option if not currently in housing
Use N/A if not currently in housing.
If you were assigned a mailbox number, please list it here
If you one of the first five reasons does not encompass your reason for withdrawal, please select "other"
Check all that apply. Leave blank if graduating, studying abroad, or does not apply.
To be completed only if you selected "Other" as your reason for withdrawal
To be completed only if filling out the detailed withdrawal information above