Request to Withdraw Form

Name * Required
First Last
Student ID number * Required
What is your city of birth? * Required
Please check that your computer does not auto-fill this field with "Boise"
Boise State Email Address * Required
I will not be attending on-campus classes starting from * Required
Please indicate when you will stop attending classes on campus. For example, select "Fall 2020" if you will be taking the semester off, or if you are only taking online courses from outside the US in Fall 2020.
Date I plan to leave the US (or date you left the US, if you've already left) - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
I would like to return to Boise State in the future * Required
- Yes
- No
Semester and Year I would like to return
I am planning to take online courses during this time * Required
- Yes
- No
I am transferring to another US university * Required
- Yes
- No
When do you plan to start at the new US university? * Required
Comments or questions for International Student Services
For example, please let us know if you would like to meet with an ISS advisor about this process.
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