Withdrawal Notification Form
Required fields are in
red
.
First Name
Middle Name
Last Name
Email
Student ID number
Contact Phone
Address
City
State
Zip
Class to drop:
BIO101 Biology 1
BIO102 Biology 2
BIO201 Anatomy & Physiology 1
BIO202 Anatomy & Physiology 2
BIO301 Microbiology
CHEM101 General Chemistry 1
CHEM102 General Chemistry 2
CHEM201 Organic Chemistry 1
CHEM202 Organic Chemistry 2
CHEM301 Biochemistry
CHEM305 Chem for Health Prof
PHY101 Physics 1
PHY102 Physics 2
SCU Block:
Fall 2010 Fourth Block (11/20 - 12/19)
Spring 2011 First Block (1/08 - 1/30)
Spring 2011 Second Block (2/05 - 2/27)
Spring 2011 Third Block (3/05 – 3/27)
Spring 2011 Fourth Block (4/02 - 5/01)
Reason for withdrawal:
Unexpected personal problems
Unexpected family problems
Unexpected financial problems
Unable to get financial aid
I did not like the format of the course
I did not like the teacher
Other (please specify below)
Other reasons for withdrawal:
Students can withdraw from any Integrated Science Program (ISP) class in which he or she is registered, according to the provisions in this
Policy on Withdrawal
.
I agree to accept the Policy on Withdrawal
The Integrated Science Program (ISP) is offered by
Southern California University of Health Sciences (SCU)
Southern California University of Health Sciences
16200 E. Amber Valley Dr.
Whittier, CA 90604
