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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and the date of your request at the top of the form. This ensures that your submission is properly identified.
Fill in your RIN (Rensselaer Identification Number), class year, and major. These details help the administration process your request efficiently.
Provide your cell phone number and both RPI and other email addresses for communication purposes.
Indicate your permanent home address to ensure accurate records are maintained.
Select when you started at RPI by checking the appropriate box for Fall, Spring, or Summer along with the year.
Specify whether you started as a freshman or transfer student to clarify your academic background.
Clearly state your reason for withdrawal. Be specific, as vague requests may not be processed.
Sign the form to acknowledge that this withdrawal is a permanent leave from RPI. If you might return, consider applying for a leave of absence instead.

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