Juniata College Office of the Registrar
Enrollment Intent Form
Fall 2014

Complete this form only if you are not returning for the fall 2014 semester. Enter the required information below, check reason and then click the submit button.

Name:
ID #:
Class: SR
JR
SO
FR
I WILL NOT be returning to Juniata for the 2014/fall semester as indicated below:
  I am transferring to another institution
I plan to take a Leave of Absence
       I will be in a Study Abroad Program for:
      one semester
      one year
I will be in a Cooperative Program (3+..) with
I will be taking part in a Non-Juniata Program at
  This form is emailed to the Registrar's Office.

YOU are required to notify The Dean of Students before leaving campus