Tuition and Academic Fee Refund Request Form

To make a request for a tuition and academic fee refund related to a withdrawal, please complete this form.

Please refer to Newcomb-Tulane College's Tuition Refund Request page for an overview of the request process. Contact Corey Motley (cmotley@tulane.edu) or advising@tulane.edu if you have any questions.

Your Role: *

Your Name *

Your Email *

Your Comments * 🛈

Name of Person Submitting Request if Not Student *

Email *

Relationship to Student *

Is there a FERPA form on file with Newcomb-Tulane College for you and the student? *

Do you have tuition insurance provided by GradGuard and/or another tuition insurance entity? *

Is there a FERPA form on file with Newcomb-Tulane College for you and your parent/guardian? *

Do you have tuition insurance provided by GradGuard and/or another tuition insurance entity? *

Withdrawal Semester *

Request Statement/Narrative *

0/500 words

Student First Name *

Student Last Name *

Tulane ID *

Student Email Address *

Major *

School *

Classification *

GPA *

Please attach any documentation to support your request here: