REG - Change in Enrollment Status

Use this form for either an Official University Withdrawal, or to indicate not returning for a future semester.
Valparaiso University | Office of the Registrar
1700 Chapel Drive | Kretzmann Hall | Valparaiso, IN 46383
Phone: 219.464.5212 | Email: registrar@valpo.edu
Hours: Monday - Friday, 8:00 AM - 5:00 PM Central Time
For assistance in selecting the appropriate form, please visit guide to Selecting a Form and the Academic Calendar.

1Student Information > 2Reasons for Enrollment Change > 3Acknowledgement
Note from the Registrar:

Requests for Change in Enrollment Status are processed by the Office of the Registrar. Students who wish to cancel their request must contact the registrar@valpo.edu
You must meet with your advisor before submitting the Change in Enrollment Status form.

It is recommended that you contact Financial Aid to discuss the repercussions of changing your enrollment status.

Not attending classes does not constitute a change in enrollment status and will result in
failing grades. Not attending classes without proper notification may also affect your financial aid.
Student ID#
Must be 7 characters. Currently Entered: 0 characters.
Student email
Cell Phone Cell Phone - ### - ### ####
What type of change in enrollment status are you requesting?

What type of change in enrollment status are you requesting? Officially withdraw from all classes in which you are currently enrolled Non-returning - remain enrolled in classes THIS semester, but not returning to Valpo for a future semester
Select the term(s) in which you will not be attending Valpo:

Select the term(s) in which you will not be attending Valpo: Fall Spring Summer (Full) Fall I Spring I Summer I Fall II Spring II Summer II
If withdrawing from Summer courses, will you be returning for the Fall semester?

If withdrawing from Summer courses, will you be returning for the Fall semester? Yes No
Please check all that apply:

Please check all that apply: Student Athlete Residential Student (campus housing) International Student US Military Service Member Access College
Which residential building do you live in?

Which residential building do you live in? Alumni Hall Beacon Hall Brandt Hall Lankenau Hall Guild and Memorial Halls Kade-Dusenberg German House Promenade Apartments Sorority Housing Complex
Reasons for Change in Enrollment Status

Please select the Most Significant reason for leaving Valpo. If additional factors contributed to your decision you may select them as Contributing Reasons
	Most Significant Reason	Contributing Reason	Neutral/Not Applicable
Academic	AcademicMost Significant Reason	AcademicContributing Reason	AcademicNeutral/Not Applicable
Personal	PersonalMost Significant Reason	PersonalContributing Reason	PersonalNeutral/Not Applicable
Campus life and engagement	Campus life and engagementMost Significant Reason	Campus life and engagementContributing Reason	Campus life and engagementNeutral/Not Applicable
Overall experience	Overall experienceMost Significant Reason	Overall experienceContributing Reason	Overall experienceNeutral/Not Applicable

Please describe your primary reason for leaving Valparaiso University:

REG - Change in Enrollment Status

REG - Change in Enrollment Status

Note from the Registrar:

Reasons for Change in Enrollment Status