Late Withdrawal Request Form

Current Student Info
LWD Self-Assessment
LWD Request
Confidentiality
Complete

First Name*

Last Name*

Student Number*

Year of Study*

Phone number (daytime)*

U of T email address*

You will need to enter a U of T email address in order to submit this form. If you do not have a U of T email address, please contact us at wdwregistrar@utoronto.ca.

Are you studying full-time or part-time?*

Full-time

Part-time

Are you currently, or were you previously enrolled in one of the programs listed below? Please select one:*