Thank you in advance for completing this form so that we can best assist you with your academic/registration plans and maintain accurate records of our student enrollment.
Because you have indicated that you are not returning to UB or you have not yet enrolled in classes for the next term (leading us to believe you may not be returning), you are asked to complete this form to confirm a change in your enrollment status at UB. Doing so will help ensure that you are directed to the appropriate procedure and/or services and will allow us to update academic record accordingly (depending on your future plans).
: In addition to completing this form, it is important that you contact the International Student and Scholar Services Office (ISSS) to discuss how your plans will affect your immigration status. You can visit the ISSS Office in 210 Talbert Hall, or contact them by email or phone at firstname.lastname@example.org or 716-645-2258.
: do not need to complete this form (be sure that you have applied for graduation).
Please provide the following information so that we can update your record and or contact you if necessary:
Name (First and Last):
Preferred Phone Number:
What best describes your plans regarding next term or future enrollment in UB classes?
I will be discontinuing as an active UB student (i.e. I am not returning next semester and do not have plans returning at a later date).
I am planning to take a Leave of Absence (i.e. not enrolling next term but returning within one year).
I am studying abroad and therefore will not be enrolled in UB classes.
Which semester will you not be returning to, or not enrolling at, the University at Buffalo?
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