Questionnaire for Students Withdrawing

Questionnaire for Students Withdrawing

NEWCASTLEUNIVERSITY

QUESTIONNAIRE FOR STUDENTS WITHDRAWING

Note: A member of staff (normally the personal tutor or supervisor) should, wherever possible and appropriate, work through the proforma with the student. Where this is not possible, the student should complete the form on his/her own. Please ensure that all sections of the form are completed.

The form should be returned to the Interaction Team who will ensure that information derived from the form is passed to the appropriate School for consideration in relation to the curriculum design and admissions policy.

NAME:
PROGRAMME:
STUDENT NUMBER:
  1. Date of leaving degree (the last date of formal attendance at lectures or tutorials)?
  1. Reasons for withdrawing from the programme? Please tick all boxes which apply and indicate the main reason for withdrawing in the further comments box below

a. / Personal Reasons / 
b. / Dissatisfaction with the course (please specify below) / 
c. / Transferred to another institution (please specify below) / 
d. / Financial Reasons / 
e. / Health Reasons / 
f. / Academic Failure / 
g. / Excluded from Further Study / 
h. / Entered Employment / 
i. / Other (please specify below) / 

FURTHER COMMENTS:

  1. Point at which first began to consider withdrawing from the programme?
  1. Has this been discussed with any of the following:

a. / A member of staff in the School? / 
b. / University Wellbeing Service? / 
c. / Student Advice Centre? / 
d. / The Careers Service? / 
e. / The Student Progress Service? / 
f. / Other? / (please specify)______
  1. Were there any aspects of studying here which were worthwhile or enjoyable, for example:

a. / The Degree Programme? / 
b. / The Academic Services (i.e. Library, Computing Services, etc)? / 
c. / The Accommodation? / 
d. / Other (please specify)? / 
  1. Were there any aspects of studying here which were not worthwhile or enjoyable?

a. / The Degree Programme? / 
b. / The Academic Services (i.e. Library, Computing Services, etc)? / 
c. / The Accommodation? / 
d. / Other (please specify)? / 
  1. Was the degree programme what was expected upon application to the course?

YES  NO

If not, how did it differ from these expectations?

  1. Did the advance information received about the degree programme present a fair picture? For example, the information in:

YES / NO
a. / The University Prospectus? /  / 
b. / The School Brochure? /  / 
c. / The Degree Programme Handbook? /  / 
d. / Other (please specify) /  / 
  1. Plans for the future:

Member of Staff:

Signed: ______Dated: ______

Name: ______

Position: ______

(e.g. Personal Tutor, Head of School)

Student:

Signed: Dated:

PLEASE RETURN TO INTERACTION TEAM, STUDENT SERVICES,

LEVEL 2 KING’S GATE, NEWCASTLE UNIVERSITY,

NEWCASTLE UPON TYNE, NE1 7RU

ALONG WITH YOUR UNIVERSITY SMARTCARD

1

Updated 18/03/15 With_quest

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