Honors Program Withdrawal Form

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This form is intended for students to inform the Honors Program and faculty they are dropping from the program.

If you are dropping from the program during add/drop/swap or extended drop period, please also unenroll from the department Honors course. If you are completing this form after the add/drop/swap or extended drop period, you must work with your department to complete the Honors course.

Emory Email Address

EMPLID

Last Name

First Name

Preferred Name

Honors Program Department

Are you enrolled in an Honors Program course?

Yes

No

Have you withdrawn from the Honors Program Course during Add/Drop/Swap?

Yes

No

Do you have a thesis advisor?

Yes

No

Do you have co-advisors?

Yes

No

Thesis Advisor Full Name

Thesis Advisor Emory Email

Thesis Co-Advisor Full Name

Thesis Co-Advisors Emory Email

Department Honors Coordinator Full Name

Department Honors Program Coordinator Emory Email

I understand by completing this form, I have formally withdrawn from the Honors Program. If I am currently enrolled in an Honors Program course and add/drop/swap is open or the extended drop deadline has not passed; I must drop from the course as soon as possible. If add/drop/swap or the extended drop deadline has passed, I must work with the department to convert the course in order to earn credit.

Yes

No