GIS withdrawal request form

This form is for current GIS students only. If you have questions about GIS or Continuing Education opportunities, please use our Send Me Info form.

Please use the following form to withdraw from your guided independent study course. In order to ensure prompt processing, please provide all information requested below.

If you have any questions, please call the Guided Independent Study Office at 319-273-2123 or 800-772-1746 or e-mail ContinuingEd@uni.edu.

UNI Continuing Education will not provide your contact information to anyone outside our institution without your permission.

GIS Withdrawal Request Form
Course Information
Course #
Course Name
Instructor
Student Information
Name
MI/Maiden
E-mail
Mailing address
City
State
     Zip
Phone
Please check if this is a new address.
Questions and Comments
Please share any additional questions, comments and concerns.

I understand that I am asking to be withdrawn from the above course.
Please contact us at 319-273-2123 or 800-772-1746 if you have any questions.

UNI Continuing Education requests this information for the sole purpose of sending the information you have requested. We do not routinely release any of this information to anyone outside our institution without express permission. We do ask that you fill out all the registration items that apply to you.

The University of Northern Iowa is an equal opportunity educator and employer with a comprehensive plan for affirmative action.