Course Withdrawal Form for Individual (Open Entry) Courses

NOTE: Required Fields are marked with an asterisk (*)

General Information

Student Number

*UNB Email Address

*First Name

*Last Name

*Street Address

*City

*Province, Territory or State

*Country

*Postal Code

Telephone Numbers

Home Phone Number

Work Phone Number

Degree/Certificate Program Information

I was previously registered at UNB in the year

Are you a Full-time or Part-time Student at UNB: Full-time Part-time

Course Information - Course Designation

NOTE: Each course withdrawal requires a separate submission.

I wish to withdraw from

*Term: Summer
Fall
Winter
Fall and Winter

Additional Comments

Privacy Policy

The personal information requested on this form is collected in relation to and is needed by the University of New Brunswick for the purposes registration in online courses and will, upon registration, form part of your student record under the authority of the University of New Brunswick Act.

Your student record may be used and disclosed as provided for in the University Regulations, Section X, Confidentiality, Security, and Release of Academic Records.

If you have questions or concerns regarding privacy or management of personal information at UNB, you can consult www.unb.ca/privacy