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Request to receive a Non-Returning/Withdrawal Form

Official notification of your departure from Hope College is done with completion of a Non-Returning/Withdrawal Form with your signature.

If you would like this form mailed to you, please complete the information below and Hope College's Office of the Registrar will mail it to you at the address you provide. Please specify only one valid e-mail address.

Full Name:
Class Year:


Street Address:
Address line 2:
City: State:

ZIP:

Phone:
E-mail:
Type of Departure:

   
 
 

 

Do you Plan to Readmit to Hope:

If Yes, when:

Reason for Leaving:

Briefly detail your reason for leaving: