Official Withdrawal from SUNY Orange

This form is to request a formal withdrawal from SUNY Orange for the current semester and you will be dropping all of your CURRENTLY enrolled courses.

Please make sure you contact Academic Advising & Financial Aid to learn the repercussions of a total withdrawal from SUNY Orange.

Newburgh Campus - 1 Washington Center Newburgh, NY 12550
Middletown Campus - 115 South St. Middletown, NY 10940

1Personal Information > 2Reasons for Withdrawing > 3Course Information > 4For Office Use ONLY: Financial Aid Review > 5Review Your Entry
Student Name Student Name * First Middle Last
Student A Number (A and your eight digit number):
Must be 9 characters. Currently Entered: 1 characters.
Student Legal Address: Student Legal Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Student Home Phone Student Home Phone - ### - ### ####
Student Cell Phone Student Cell Phone - ### - ### ####
SUNY Orange Student Email Address: *