Withdrawal Form – Fall 2025

This form is to be used when a student finds it necessary to withdraw from all courses for the semester or to permanently withdraw from the University. It must be completed by the student. Review the entire Withdrawal Policy under the Academic Policies link in the University Course Catalog prior to completing this form.

For the Fall 2025 semester:

All tuition refunds dates can be found here: Academic Calendar

The Last Date to Withdraw from Fall 2025 is October 31, 2025*

When a student officially withdraws, charges will be adjusted according to the refund schedule in all cases other than active military orders. The full amount of tuition will be due unless the withdrawal occurs during the refund period; all fees are non-refundable. Refer to “Adjustments & Refunds of Tuition” in the University Course Catalog. Also see the Student Accounts portal for withdrawal dates and refund information.

Institutional Financial Aid Refund Policy:

When a student has Institutional Financial Aid from Bellarmine University and completely withdraws during the time that a tuition refund is due, the student is eligible to keep the same percentage of Institutional Financial Aid that they are charged for tuition. The remaining aid is refunded to the financial aid programs. Please note that Federal Aid may need to be returned as well as KY State Aid. Please see the Office of Financial Aid and Student Accounts to understand the financial implications.

*See below for Medical or Military withdrawal procedures. Petitions to withdrawal (other than medical or military) after the published deadline must be submitted prior to the end of the semester, following the Academic Petition Policy outlined in the Catalog.

Student ID Number _________________________________	Today’s Date _______________________________________

Last Name ________________________________________	First Name ________________________________________

Did you attend any classes this semester? _________________	Last date of last class attended _________________________

Reason for Withdrawal ________________________________________________________________________________________

Check only one of the following boxes:

Check this box if this is a permanent withdrawal from Bellarmine University (any future registered credits will be dropped).

Check this box if you intend to return to Bellarmine University for the Spring 2026 semester. Your status will remain active and you will be held to the Bellarmine Code of Conduct during your absence.

Student’s Signature ___________________________________________	Date ______________________

Notifications:

Please notify your advisor via email or phone that you have withdrawn. This includes: Student Success Center advisor, faculty advisor, or graduate program advisor, and if applicable, athlete advisor in the Academic Support Services for Student Athletes Office.

Students living on campus must make arrangements with Residence Life prior to moving out.

Medical Withdrawal Request:
If you are seeking a medical withdrawal as defined in the University’s Withdrawal Policy, you must complete this form and submit it along with a letter outlining the circumstances which led to your request and any relevant documentation to support it. Your withdrawal will be processed upon receipt of this form in the Registrar’s Office and your letter will be reviewed by the Dean of Students (or their designee) to determine if you quality for a medical withdrawal. The Dean of Students Office can advise you with this process should you need assistance.

Active Duty Withdrawal Request:
If you have been called to active duty and need to withdraw from all classes, complete this form and submit it along with a copy of your military orders. In addition, e-mail a copy of your military orders to studentaccounts@bellarmine.edu for a tuition refund.

Submit completed form to the Registrar’s Office at
registrar@bellarmine.edu or in-person, Horrigan Hall 205	Date Received in Registrar’s Office _____________________