Military Tuition Assistance Enrollment Drop Request Form
Use this form to request removal from a military tuition assistance course enrollment and provide the details needed to review your request.
Service Member Information
Full Name
*
First Name
Middle Name
Last Name
Branch/Component
*
Please Select
Army
Navy
Air Force
Marine Corps
Space Force
Coast Guard
National Guard
Reserve
Other
Rank/Grade
*
DoD Email or Preferred Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Unit/Organization
*
Enrollment and Course Details
School / Institution Name
*
Course Title or Course Number
*
Term / Semester
*
Please Select
Spring
Summer
Fall
Winter
Quarter 1
Quarter 2
Quarter 3
Quarter 4
Other
Course Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Course End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Enrollment Status
*
Please Select
Enrolled
Waitlisted
Dropped
Withdrawn
Completed
Other
Tuition Assistance Approval Reference
Drop Request Details
Requested Drop Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Dropping
*
Mission requirements
Schedule conflict
Medical issue
Personal emergency
Course difficulty
Command-directed
Other
Explanation / Comments
Supporting Documentation
Attached now
Will be provided later
Command and Acknowledgment
Commander/Supervisor Name
*
First Name
Middle Name
Last Name
Commander/Supervisor Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Requester Acknowledgment
*
I understand this drop request will be reviewed and may affect tuition assistance processing and obligations.
Submit Request
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