Study Abroad - Once Accepted
Return to Checklist: Fall / Winter / Spring / Summer
Request to Withdraw from Study Travel
(FLL Program Participants):

If you have already been accepted to a UD study travel program, but can no longer participate, please complete the form below. When we receive the form, we will notify your faculty director and remove your name from the list of accepted students.

Program Name/Location:
Sponsoring Dept:
Program Term (Fall, Winter, etc.):
First name:
Middle name:
Last name:
Email address
Reason for withdrawal:	Medical Personal Financial Other
Additional comments:

By submitting this form, you are affirming that all of the information you have given, and do give throughout is true, correct and complete. -or-

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