Online RN-BSN Program Course Drop/Withdrawal Request

NOTE: This form is only to be used by the Online RN-BSN program students. If you are in another program, please refer to your advisor on which different form should be used.

Please use this form to drop or withdraw from a course. The course indicated below will either be dropped or withdrawn and tuition adjusted based upon the drop/withdrawal dates and policies.


Course(s) from which you desire to drop/withdraw:

Drop/withdraw from another course

Yes     No

Yes     No

We are always striving to meet the highest levels of customer service and better serve our students. Briefly describe (500 words or fewer) why you are submitting your drop/withdrawal request to assist us in understanding your future needs:

By checking this box, acknowledge that submission of this form is only a request and a representative of CMU will follow up with you to finalize this request.

Digital signature

By clicking submit, authenticate your signature and certify that you are responsible for any changes to your schedule, and that you will verify the changes on MavZone and understand these changes may affect your tuition bill and/or my financial aid eligibility.