Application Withdraw Request

* = Required

Welcome to the UC Davis Undergraduate Admissions Application Withdraw Request System. Please complete the required information to process your request.

Note: this form is for applicants only. If you are an enrolled UC Davis student looking to withdraw from the university, please use this form instead.

First Name *
Last Name *
Middle Name
Application ID or UC Davis Student ID * What is this?
Email *
Reason for Withdrawal: *

Identity Verification

To prove you are a person, please enter the verification text displayed into the field below. (Case Sensative)

Verification Text *
Reload a new verification text.

I hereby certify that the information I have provided to withdraw my UC Davis Undergraduate Admissions application is accurate and complete.

Full Name *

Signature Date *