Authorized Early Withdrawal Form Guide
This file provides essential information and instructions for F-1 international students seeking to withdraw or take a leave of absence from Campbellsville University. It outlines the process, important deadlines, and necessary steps to properly complete the withdrawal process. This guide ensures that students are informed of their responsibilities and what actions they need to take.
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How do I fill this out?
To complete this withdrawal form, first gather all necessary personal and academic information. Then, carefully read the instructions provided to understand the implications of your withdrawal. Finally, fill in the required fields accurately and submit the form to the appropriate office.

How to fill out the Authorized Early Withdrawal Form Guide?
1
Gather necessary personal and academic information.
2
Read the instructions about the withdrawal process.
3
Accurately complete all required fields in the form.
4
Submit the form to the International Student & Scholar Services.
5
Retain a copy of the submitted form for your records.
Who needs the Authorized Early Withdrawal Form Guide?
1
International students planning to take a leave of absence.
2
F-1 visa holders intending to withdraw from Campbellsville University.
3
Students wishing to enroll less than full-time during absence.
4
Dependents of F-1 students who may require similar information.
5
Graduate assistants needing to discuss withdrawal implications on tuition.
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What are the instructions for submitting this form?
To submit the Authorized Early Withdrawal Form, send it to the International Student & Scholar Services either via email at international@culouisville.com or deliver it in person at the Louisville campus. Fax submissions are also accepted at 502-753-0282. Ensure that you keep a copy of the form for your records after submission.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting the Authorized Early Withdrawal Form are as follows: For the Spring 2024 semester, withdrawals must be submitted by January 15. For the Fall 2024 semester, submissions are due by August 25, 2024. Always check with International Student Services for any updates or additional deadlines.

What is the purpose of this form?
The purpose of this form is to allow international students at Campbellsville University to formally initiate a leave of absence or withdrawal from their studies. It is crucial for maintaining compliance with U.S. immigration regulations, as improper withdrawal can lead to severe consequences for students' visas. Additionally, the form serves as a record for the university and assists in planning for the student's return or ongoing engagement with their academic program.

Tell me about this form and its components and fields line-by-line.

- 1. Last semester in which I will be enrolled full-time: The semester during which the student last attended classes at CU.
- 2. Scheduled date of departure: The planned date when the student intends to leave the United States.
- 3. Student Name: The full name of the student completing the form.
- 4. Student Signature: The signature of the student indicating agreement with the terms.
- 5. Student ID # and SEVIS #: The unique identification numbers for the student.
- 6. Academic Department Section: Approval section from the student's academic department.
- 7. OISSS Staff Initial: Initials of the staff member processing the form.
What happens if I fail to submit this form?
If the Authorized Early Withdrawal Form is not submitted on time, the student may face complications regarding their visa status. Failing to formalize the withdrawal can lead to termination of the SEVIS record, potentially impacting the student's ability to re-enter the U.S. for studies. It is crucial for students to adhere to submission guidelines to avoid these issues.
- Visa Status Impact: Late submission may jeopardize your F-1 visa status.
- Academic Record Issues: Failure to withdraw formally can lead to complications with your academic record.
- Inability to Return: Improper withdrawal may hinder future re-entry to the U.S. for studies.
How do I know when to use this form?

- 1. Withdrawal due to personal reasons: Students may need to withdraw for personal circumstances that affect their studies.
- 2. Transfer to another institution: Students may opt to transfer and must formally withdraw from CU.
- 3. Health-related leave: Students requiring a leave for health reasons must submit this form.
- 4. Academic concerns: Problems with academic performance may lead a student to seek withdrawal.
- 5. Family issues: Family emergencies may necessitate leaving the country and withdrawing.
Frequently Asked Questions
How do I fill out the authorized early withdrawal form?
You should gather your personal information, read the instructions carefully, and fill in the required fields accurately.
What happens after I submit the withdrawal form?
Once submitted, your SEVIS record will be processed, and you'll receive confirmation from International Student Services.
Can I edit the PDF form after downloading it?
Yes, you can edit the PDF using the PrintFriendly editor before finalizing and submitting.
When should I submit this form?
Submit this form before the withdrawal deadline for your current semester.
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What if I need to sign the form?
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Are there deadlines for submitting this form?
Yes, ensure to check the specific deadlines relevant to your semester of withdrawal.
How do I know if my withdrawal is approved?
You will receive confirmation from the International Student Services office once your form has been processed.
Can dependents of F-1 students fill this form?
Yes, dependents may also be affected and require similar documentation.
Where can I find this form?
This form can be accessed through the Campbellsville University International Student & Scholar Services website.