StudyAway Student Withdrawal
Processing Request Form

Upon receiving a request in writing from a StudyAway participant requesting to withdraw from the program, the Program Director completes the following steps:

Completes the form below;
Withdraws the student from the program in the StudyAway Portal;
Notifies student to drop (or withdraw) from both the academic and SABD/FSTY courses in Athena (prior to the end of Add/Drop and/or withdrawal deadlines available here;
Notifies student of the percentage of the Program Fee and the exact amount to be charged to the student based on the UGA StudyAway Program Fee Refund Policy (25%, 50%, 75%, or 100% of the program fee; deposit is non-refundable).

Once these steps are completed, the student will receive a communication from the StudyAway office informing of them of their right to appeal the charges.

Your Contact Information

1. Your name: *

2. Your email: *

3. CC Email Address 🛈

4. Study Away Program Name: *

Student Information

1. Student's First and Last Name *

2. UGA ID Number (begins with 81x) *

3. Is this a transient (non-UGA) student? *

Yes

No

3a. What is the student's home institution? *

4. Reason for Withdrawal: *

5. Student official withdrawal date * 🛈 +

6. Program departure date * 🛈 +

7. Number of days prior to program departure when the withdrawal occurred * 🛈

8. SABD/FSTY course number for the program *

9. Total program fee billed to the student via SABD/FSTY course (after the deposit was subtracted). Please only include numbers and do not include a dollar sign, comma, etc. *

10. Deposit amount *

11. Percentage of the Program Fee to be charged to the student based on the UGA StudyAway Program Fee Refund Policy *

Calculator Tool: 🛈

$0.00

12. Amount to be charged to the student * 🛈

13. Upload a copy of student withdrawal letter (preferably in .PDF or .MSG format)

14. Do you know if the student received a scholarship related to studying away? *

Yes

No

I don't know

15. Other comments: *

If you have any questions, contact the StudyAway Business Office at: ugasabo@uga.edu.

StudyAway Student WithdrawalProcessing Request Form

Your Contact Information

Student Information

StudyAway Student Withdrawal
Processing Request Form