
Please complete ALL sections of the form in any of these situations. If you wish to WITHDRAW after requesting a line of registration for 2011 fall/winter, please complete section 1 and 3 of the form. Please fax form to the Dean's Office (FAX: 519 661-3703) or drop it off at the Counselliing Desk, Western Science Centre, Room 191 during regular office hours. Request for Degree/Module(s) Change or Withdrawal
This form is used to request changes to your degree/module(s) in the following situations:
WITHDRAWAL from Western:
Change of Status Form




