NOTE: For medical withdrawal, after submitting this form an email will be sent to your horizon email. You
must open that email and attach medical documentation on letterhead to complete submission of the
withdrawal form or your withdrawal request will not be processed. This medical documentation must clearly
demonstrate how the condition prevented you from completing the course(s) and you should provide a clear and
detailed explanation when listing your reason for the withdrawal in the box below. If approved by the Office of the
Registrar, the units will not count toward the 18 semester unit limit.