Guided Independent Study Withdrawal Request

This form is for current GIS students only. Prior to submitting this form, please be sure to have read information pertaining to refunds on the GIS website.

Please use the following form to withdraw from your guided independent study course. Requests must be made via this form. In order to ensure prompt processing, please provide all information requested below.

If you have any questions, please contact the Guided Independent Study Office at 319-273-7206 or gis-program@uni.edu.

GIS Refund Policy

Student Information

First Name

Last Name

UID

UNI Email Address

Course Information

Click "Add another response" below to drop multiple courses.

Course

Instructor

Contact Information