Intent to Withdraw Exit Survey

Who is completing this form?

The student who is withdrawing.

A faculty/staff member on behalf of the student.

Faculty/Staff Information (Page 1/3)

Faculty/Staff Full Name

Your Relation to the Student

Thank you for taking the time to complete this Exit Survey. Your reflections on your experience at Greenville University are incredibly valuable. The first portion of the survey asks basic questions about your background—such as your major and housing—while the majority of the survey focuses on your insights into the university’s strengths and areas for growth.

All feedback will remain completely anonymous. Although your name and email are required, they will never be linked to the aggregated data. Names are used only for official exiting purposes.

We genuinely appreciate your honest and thoughtful responses. If you feel comfortable, please include names, events, or specific examples—this level of detail helps us better understand your experience. Each year, we carefully analyze the results to identify patterns and make informed decisions aimed at improving the student experience.

Student Information (Page 1/3)

GU ID Number

First Name

Last Name

GU Email Address

Current Major

Forwarding Address

Country

Street

City

Region

Postal Code

I plan to withdraw -

Immediately

At the End of the Term

Last Day of Class Attendance

Withdraw Checklist - Please check the boxes by the following statements to signify that you have read and understand the implications of this form.

I understand that it is my responsibility to meet with the student accounts team and determine any remaining balance that I am responsible for based upon my last date of attendance.

I understand that submitting this form will result in my removal from all future residence hall assignments.

I understand that there is a $25 charge for failing to return my residence hall key.

Select continue to proceed to the exit survey information. As a reminder, the previous data that was collected for registration purposes is separated from the reflective questions which will now be asked in order to keep your response data anonymous.

Institutional Information (Page 2/3)

Which of the following best describes your reason for withdraw?

Which institution will you be transferring to?

If you are leaving Greenville University due to financial consideration, how much more aid would be needed to remain enrolled?

Were there any additional factors that contributed to your decision, or do you have any additional information to share regarding the factors above?

Residential Information

Which student type best describes you when you first enrolled at Greenville Universty?

During the past semester, where did you live?

How far is your home from Greenville University?

How often would you estimate that you returned home last semester?

Which extracurricular activities were you most involved with as a student? (Press and hold the command key to select multiple options)

Which academic or personal support services did you utilize as a student? (Press and hold the command key to select multiple options)

Student Withdraw Information (Page 2/3)

Student's First Name

Student's Last Name

Student's GU ID Number

The student plans to withdraw

Immediately

At the End of the Term

Student's Last Date of Class Attendance

Please continue to the final section of the exit survey.

Student Satisfaction Inventory (Page 3/3)

As you think through these statements, your honesty and clarity is most important. Please provide answers for us that identify Greenville University's strengths and weaknesses and gives examples, if possible. The more precise you are, the better we will be able to make changes.

Rated Assessment

Tuition paid is a worthwhile investment.

The institution shows concerns for students as individuals.

Most students feel a sense of belonging.

Freedom of expression is protected on campus.

I am satisfied with the condition of my residence hall.

Being on campus has contributed to my spiritual growth.

Personal Response

What did you like the most about Greenville University?

What did you like the least about Greenville University?

Greenville University is a faith-based institution. Did this positively or negatively impact your time as a student?

When did you decide you were going to leave Greenville University?

What would have to change in order for you to stay or return to Greenville University?

Student Withdraw Information (Page 3/3)

Which of the following best describes the student's reason for withdraw?

Insert Title Here

Intent to Withdraw Exit Survey