The Office of the Dean of Students strongly encourages individuals to make an appointment by calling 719-255-3091, emailing dos@uccs.edu, or contacting a specific staff member using our staff contact information.

 

Withdrawal Request Form

Dean of Students Complete Semester Withdrawal Request Form

This form is intended for complete withdrawals during the current semester, or for complete withdrawals from previous semesters. If withdrawing from less than all courses in a semester, please refer to the Office of the Registrar’s Drop & Withdrawal Policies & Procedures page.

 

Please note that submitting a Complete Semester Withdrawal Request webform is the first step of the withdrawal process. Submitting a request form will not result in an automatic withdrawal, and withdrawals are not guaranteed. You will need to work with the Office of the Dean of Students staff to complete the process after submitting your form. Once you submit this webform, you can expect to hear from a member of the Office of the Dean of Students team within 3 business days. If withdrawing from less than all courses in a semester, please refer to the Office of the Registrar's Drop & Withdrawal Policies & Procedures.

Do you live in campus housing? (Yes/No)
Are you receiving Financial Aid (such as grants, scholarships, VA benefits, etc.)?
Do you plan to return to UCCS? (Yes/No)

I understand that the following are not acceptable stand-alone reasons for requesting a complete semester withdrawal: 1. Poor performance in class 2. GPA protection 3. Failure to verify class schedule through myUCCS portal 4. Failure to monitor waitlist position 5. Change of major or program that results in a course no longer being a requirement  

UCCS has a responsibility to provide a safe and nondiscriminatory environment. If you disclose having been impacted by sexual misconduct, protected-class discrimination or harassment, intimate partner violence, stalking, or related retaliation, we are required to share that information to the UCCS Office of Institutional Equity (OIE) for outreach regarding support and reporting options. You are not required to respond to OIE. Additionally, please note that the university takes disclosures around threat of harm to self or others seriously and when information of this nature is received, it will be shared with the appropriate offices to offer additional support and resources. 

I certify that the information given is correct. I understand that providing false statements or false documentation is a violation of the Student Code of Conduct and that any violations will be reported to the Office of the Dean of Students. 

Supporting Documentation

One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.