GSEHD Program Withdrawal Request Form
This form enables current students to withdrawal from their graduate program at the Lynch School. Please note if you are looking to withdraw from a course or a specific semester, do not complete this form. Contact gadofc@bc.edu for more information. 

Please complete the form in full and provide as much detail as possible for your plans. Our office will review your request and follow up within 2 business days. 

If you have any questions please email gadofc@bc.edu.

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Email *
First Name *
Last Name *
Eagle ID (First 8 digits, no spaces) *
Faculty Advisor *
Degree *
Please confirm your specific Graduate Program: *
Will you complete the present semester? *
If not, what courses will you be withdrawing from?
This is required for students that are not completing the present semester.
Date of Last Class Attendance
This is required for students that are not completing the present semester.
MM
/
DD
/
YYYY
Why are you requesting a withdrawal? *
Required
Please provide a detailed explanation in the space below describing your reasons for requesting a withdrawal from your graduate program. This information will be kept confidential and will only be seen by the Graduate Student Services Office.  *
Would you like to meet with a member of our team to discuss your plans? *
If you have been working with a member of Graduate Student Services, who have you met with?
Is there anything else you would like to share with our team?
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