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Y Graduate School, and to confirm that this intent has been discussed with the student's adviser, Director of Graduate Studies, or the Chair of his/her department. (This form is not to be used if the student is requesting a leave of absence.) Original signatures are required. Upon receipt of this form by the Graduate School, the Assistant Director for Student Records will drop all of the student's courses. STUDENT INFORMATION Name: MUID: Program: Degree: I hereby announce my intention to di.

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