University of the Pacific . McGeorge School of Law

COMPLETE THIS FORM, PRINT OUT, SIGN, MAIL TO:
Registrar's Office . University of the Pacific McGeorge School of Law
3200 Fifth Avenue . Sacramento, CA 95817

WITHDRAWAL REQUEST

Date
        
Student ID
        
Name: Last
First
Middle
Address
City
State
Zip
Phone: Home
Business
    
E-mail
Class Year

Signature _____________________________________________________

Withdraw from enrollment in semester


Student withdrawing which results in refund must make application for refund with the Business Office.


Office Use Only:

Terms of Withdrawal:
______________________
______________________
______________________
______________________

Program Card ________

Class Roll ____________

Computer ________

Transcript _______

 Remarks ____________________________
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