Records Office
Enrollment Services

FW Date Form


The U.S. Department of Education and the U.S. Office of Veterans affairs require the last date of
attendance/contact to be reported for students who are receiving federal financial assistance when
faculty assign an "FW" grade.

Please list an appropriate date with the course length. You may not use the first day of the class.


Student ID # 
Student Name (Last,First, MI)
Class #
Subject and Catalog #
Last Date of Student Attendance or Contact:
Instructor Name (print)
Instructor ID