University Withdrawal

"*" indicates required fields

Please enter your family name.*

Please enter your first name.*

Please enter your student ID number.*

Which option below closest describes your ethnicity?*

White

Black

Asian

Mixed or another identity

Prefer not to say

What is your gender?*

Male

Female

What is your current academic status?*

Freshman (30 credits or fewer)

Sophomore (31-59 credits)

Junior (60-89 credits)

Senior (90 credits or more)

Other

Please specify your academic status*

What was your first term at Richmond?*

Please specify 'Other'*

What is your nationality?*

Please enter your date of birth.*

DD slash MM slash YYYY

Please provide us with a personal email address where we can contact you after your departure.*

Please provide us with a telephone number (with country code/area code).*

Where are you living?*

On Campus

Off Campus

University residence halls

In which University residence halls are you living?*

Please tell us your expected date of departure from the University. PLEASE NOTE: If you intend to withdraw at the end of the term, use the last date of exams.*

DD slash MM slash YYYY

Please indicate the first and last name(s) of your academic advisor*

What is your major area of study?*

If you have a minor, please specify.

Are you studying full time or part time?*

Full time

Part time

Please tell us your main purpose for entering Richmond.*

No definite purpose in mind

To take some job-related courses

To take courses necessary to transfer to another university

To obtain a certificate

To obtain a Bachelors degree

To obtain a Masters Degree

Other

Please specify 'Other' reason for entering Richmond*

What is your main reason for withdrawing?*

What are your plans after Richmond?*

Did you move to another immigration category in the UK (for example Skilled Worker Visa)*

Do you plan to re-enrol at the University in the future?*

Yes

Undecided

Do you wish for Registry Services to evaluate your eligibility for a US and/or UK Exit Award and present you to the next University Examination Board?*

Yes

If yes:

US only

UK only

both US and UK

Please indicate how important each of the following was in making your decision to withdraw from the University.*

	Very Important	Moderately Important	Somewhat Important	Not Important	Does not apply
Quality of instruction at Richmond
Quality of academic advising
Academic reputation of Richmond
The challenge of the academic program is too weak
Richmond is too expensive
Richmond is poor value for money
I came to Richmond intending to transfer
Did not like the size of Richmond
Want to be nearer to family, friends, and home
Unhappy with University rules and regulations
Had too many personal and social conflicts
Potential University Closure

Please indicate your level of satisfaction with the following services, programs and characteristics of the University.*

	Very Satisfied	Satisfied	No Opinion	Dissatisfied	Very Dissatisfied
General Registration and availability of courses
The Orientation program & timetable
Out-of-class availability of faculty (your teachers)
Out-of-class availability of staff
Academic facilities (classrooms, library, labs, IT, etc)
Residential facilities (accommodation, bathrooms)
Residence hall staff, programs, and services
Health, personal, & career counseling & services
Student Activities, sports, & recreational services
Student voice in Richmond policies and governance
Faculty concern for you as a student
Staff concern for you as a student

Please rate the quality of customer service available from the following University departents.*

	Excellent	Very Good	Good	Average	Poor	Not Acceptable
Registrar
Academic Affairs
Student Affairs
Finance
Library
Catering
IT
Maintenance
Security

What could Richmond have done to encourage you to stay at the University?*

Please give us any more information regarding your student experience at the University that is relevant to your withdrawal.*

Please Note these Terms and Conditions:

You will not be able to return to your studies if your financial obligations to the University have not been cleared, either past obligations or any fees owing for the semester in which you want to return
The University is required to report any student who is in the UK on a student visa but who is not attending classes to the UK Home Office. This includes students who are taking a Leave of Absence. The University's granting of an LoA does not permit a student on a student visa to remain in the country while on LoA
If you hold a student employment contract issued by the University, your employment will terminate under that contract when you are no longer a registered student at the University. You will be invited to a meeting with the Director of Human Resources to discuss the matter before your LoA is approved
If you are funding your education through student loans (SFE or US Department of Education), you may be liable for the outstanding fees for the current term you are attending depending on your disbursement calendar. Please consult with Jason Elliot ([email protected]) about your potential financial liability

Please note withdrawal may have significant financial consequences which you are advised to check before making any final decision, e.g:

If you receive a student loan from the Student Finance England or from Federal Aid Loan, you may be asked to make earlier repayment of any Student Loan. In addition, if you undertake another higher education course in the future, it is possible that Student Finance England (SFE) or Federal Aid Loan will decide that you are not entitled to any payment towards tuition fees for the new course
Your withdrawal may impact on tuition fees paid or due, and you may even be entitled to a refund.
If you receive any form of grant/bursary from your sponsor, you may be required to repay a portion of this, depending on when your withdrawal takes effect
If you are unsure as to exactly how your tuition fees may be affected, please seek advice from the Finance Department on +44 (0) 208 332 8209 or email: [email protected]
Outstanding Fee Payments Once a withdrawal has been actioned, any outstanding fee shall remain on the student account and shall be pursued by the University or its collection agents which may incur additional fees and may affect your credit rating. Please refer to the University Policies page for more information

Please indicate that you have read and understand the above financial implications of withdrawing from the University*

I understand the financial implications of my decision to withdraw.

Please note that if you hold a student employment contract issued by the University, by submitting this form, you will be submitting your formal resignation as a student employee at Richmond, The American International University in London which will be effective from the date you cease to be a registered undergraduate student at the University. This satisfies the requirement in clause 10.1 of your contract of employment to give one week’s written notice to terminate your employment. In addition, if you are currently sponsored by the University on a student visa (Tier 4), you will be required to submit copies of travel documents (boarding pass and home country re-entry stamp) before your withdrawal is final. THIS IS A REQUIREMENT OF THE UK HOME OFFICE.

Please tick below to agree to the above terms and conditions.*

I agree to the above terms and conditions.

Are you currently on student visa (Tier 4)?*

Yes

Please indicate which date you are planning to leave the UK*

DD slash MM slash YYYY

Please tick below to agree to contact Student Affairs to send copies of your travel documents*

I agree to that I will provide copies of my travel documents to Student Affairs

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