Roger Williams University School of Law Withdrawal Form

Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Country

Student ID #

Student Id#

Current Class Year (ex. 1L , 2L , 3L)

Effective Date of Withdrawal

Please enter the effective date of your withdrawal from Roger Williams University School of Law

Transfer School (if applicable)

Brief explanation for withdrawal

Forwarding Address

City/Town

State/Province

ZIP/Postal Code

Student Signature

Sign above

Date