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Northwest Missouri State University

Cancellation Form

Status: Recruit/Prospect
Applicant
Accepted
Currently Enrolled
Cancellation Type: Enrollment/Admission
Housing Only

Student Information

Student Name:
Banner ID:

Enrollment/Admission Cancellation

Are you attending or do you plan to attend another institution? Yes
No
What institution?
Why did you select that institution?  A+ Program
 Academic ranking/reputation
 Athletics
 Campus/university environment
 Community college
 Cost
 Distance/location
 Family/friends
 Financial aid/scholarship
 Liked campus visit better
 Liked other program better
 Major not offered at Northwest
 Personal reasons
 Residence halls
 Size
 Transfer credit not accepted
 Other:
Why did you decide not to attend Northwest? Academic ranking/reputation
Athletics
Campus/university environment
Cost 
Distance/location 
 Family/friends
 Financial aid/scholarship
 Liked other program better
 Major not offered at Northwest
 Personal Reasons
 Residence halls
 Size 
 Transfer credit not accepted
 Other:
What do you plan to study (major) at college?
How many institutions did you apply to?
At the time of application, what were your top three choices? 1.
2.
3.
Why did you apply to Northwest?
Do you plan to attend Northwest in the future? Yes
No
Maybe
Will you be a: First-time Freshman
Transfer
Trimester you plan to enter Northwest:  

Housing Cancellation

Reason for Cancellation  Condition of residence halls
 Housing costs are too high
 Housing application process is frustrating
 Housing assignment process is frustrating
 Did not get preferred housing assignment
 Could not find a suitable roommate before housing assignment was made
 Concerned about roommate I am assigned to live with
 Other:

Recruit/Prospect Cancellation

Student Name:
City:
State:
Do you plan to attend Northwest in the future? Yes
No
Maybe
Will you be a: First-time Freshman
Transfer
Trimester you plan to enter Northwest:  

The student must contact the Student Success Center at 660.562.1695.

Administrative Use

Notified by: Student
Parent
Other: 
Date of Drop:
Took the Call:
Comments:

 

     


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