Graduate Tuition Refund Request

Please provide us with the following student information:

Student ID Number:

First Name:

Last Name:

Campus Location:

Daytime Phone Number:

Email Address

What term/session was the class taken? Per the graduate catalog, tuition refund requests should be filed within one term following the end of the course due to withdrawal.

Spring One/Spring Semester 2025
Fall One/Fall Semester 2024
Fall Two 2024

Course Department, Number, Section and title (ex. BUSN 5000.OA Business)

Was this class taken online or at one of our local sites? If at a site, which one?

Date of your withdrawal:

Last date of attendance:

Are you requesting a tuition refund for another class taken that same term:

Yes
No

Please enter the course department, number, section and title:

Please provide a statement of rationale for your tuition refund request. Be sure to include relevant dates and cite the supporting documentation you intend to include:

Please upload your supporting documentation. This must be official documentation from a third party. Documentation could include:

A dated doctor's verification letter of medical treatment and diagnosis
A copy of your active military orders
A dated letter from your employer on company letterhead stating withdrawal from course(s) is work related
A death certificate or obituary which includes your relationship with the decedent
Legal documents

Medical bills, patient summaries or hospital discharge paperwork are not official and will not be considered.
Screenshots of emails or communication with others are not official and will not be considered.

Failure to include official documentation will delay or prohibit your request.

Have you requested a tuition refund before:

Yes
No

Was it approved? What were the circumstances?