EmailMe Form - Withdraw/Not Returning to LHU

Student Name *
First Last Suffix
Banner Student ID Number (will start with a P). *
If you are unsure of your Banner ID number, login to Student Self-Service to find it.
Student Phone Number *
### - ### - ####
Student Email (please use LHU email) *
This email will be used to confirm your submission and followup with any questions that arise.
Please be sure to check your LHU email during this process.
I am a... *
new incoming student
student who already attended LHU
high school student taking dual enrollment courses
Personal Email Address *
When you first enrolled at LHU, did you enroll as a: *
First Year Student
Transfer Student
High School Student
How would you like to change your enrollment status at LHU?
Withdraw from all of your current courses this semester.
Let us know that you will not be returning next semester.
Which semester are you leaving LHU? *
Year *
Effective Date of Change *
MM / DD / YYYY
(Please provide the date you last attended class.)
This date will be used for financial aid and billing purposes. You will be responsible for all tuition and fees accrued during the semester. The current refund schedule can be found on our website at the following address: http://lockhaven.edu/cost/refundschedule.html
When students consider leaving college, we know there are several factors that can contribute to this decision.
Did ACADEMIC REASONS affect your decision to leave LHU? *
Yes
No
Academic Reasons (select all that apply) *
I am changing my major to something LHU does not offer.
I do not feel prepared for college-level work.
One or more of my instructors were not available to meet with me and/or were not helpful.
My academic advisor was not helpful.
I was not properly informed on academic deadlines (drop/add, withdrawing from a class, etc.)
My classes did not interest me.
I need classes that are offered online, on weekends or evenings.
I was not accepted into my desired major.
My GPA is not high enough to return.
Other
What is your new desired major?
What will you be doing instead?
What was your desired major?
Would you like to speak to someone about your experience?
Yes
No
If you would like to share additional information, please enter it here:
Did SOCIAL OR HEALTH REASONS affect your decision to leave LHU? *
Yes
No
Social Reasons: *
I am struggling with my mental health (depression, anxiety, etc.).
I am having physical health problems.
LHU was not a good fit for me.
I was unable to make friends/connections with others.
My work schedule does not allow me to focus on my studies.
My family is going through a difficult time and I need to be with them.
I am experiencing life changes (marriage, having a baby, etc.)
Other
If you would like to share additional information, please enter it here:
Did FINANCIAL REASONS affect your decision to leave LHU? *
Yes
No
Financial Reasons: *
I did not receive financial aid because I did not complete the FAFSA.
I did not make Satisfactory Academic Progress (SAP) and my financial aid was suspended.
I reached MAX time and my financial aid was suspended.
I missed the PHEAA deadline and did not receive a PHEAA grant.
I am unable to find a co-signer for a loan
Family income changes prevent me from attending.
I need to work to save money.
Other
If you would like to share additional information, please enter it here:
Did you contact the Financial Aid Office to discuss your financial aid options?
Yes
No
I'm not sure.
Let's make sure we get everything cancelled.
Did you sign up for housing next semester? *
Yes
No
Not sure
Did you register for classes at LHU for next semester? *
Yes
No
Not sure
Did you sign up for a meal plan for next semester? *
Yes
No
Not sure
Do you plan to resume taking classes at LHU in the future? *
Yes
No
Unsure
Are you transferring to a new school, college, or university? *
Yes
No
Not sure
To which school, college, or university do you plan to transfer? *
Would you be willing to answer 5 more questions to provide additional feedback on your experience with LHU?
Yes
No
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When students consider leaving college, we know there are several factors that can contribute to this decision.

Let's make sure we get everything cancelled.