Program Withdrawal Form

Canadore College is committed to your success, and we offer a range of services to support you in remaining at the college. We recognize students encounter many challenges which may prevent you from successfully focusing on your studies (example program choices, financial, personal).

Be sure you are aware of the dates and deadlines regarding withdrawals. The completed form must be received before the "Last Day to Withdraw from a Program with partial refund" date to qualify for any refunds.

The withdrawal form is for students who are withdrawing from their full-time program. By submitting the Program Withdrawal Form, you will be initiating the withdrawal process. Please note: in order to receive a partial refund, you must complete and submit the Program Withdrawal Form no later than 11:59pm on the 10th day of classes.

Student Number (required)

Name (required)

First Name

Last Name

Address (required)

Address

City / Town

State

Country

Postcode

Contact Details (required)

Phone

Mobile

Disclaimer: Failure to provide accurate contact information will prevent Student Success Services from contacting you to finalize your withdrawal request.

Secondary Email Address (if applicable)Please list a secondary email address in the event that your primary email address fails.

Program of Study (required)

Campus (required)

Current semester of study (required)

Do you intend to (required)

Withdraw immediately

Withdraw at End of Semester

Is the reason for your withdrawal to enroll in another program? (required)

Yes

If yes, when and for what program?

Are you an OSAP recipient? (required)

Yes

Are you a domestic or International student? (required)

Domestic

International

How would you like to interact with a Staff? (required)

Phone

1-on-1 Appointment

Read the below refund policy that pertains to you

Refund Policy for Domestic Students

Refund Policy for International students

By checking this box, I acknowledge that I have read and understand the refund policy. (required)

Signature (required)By inserting your name on this form, you consent to program withdrawal indicated above.

Are you ready to notify "Financial Aid" to work on next steps?This field, once selected, will notify Financial Aid that they can now begin on their Withdrawal tasks for this particular student.

Yes

Are you ready to notify "Canadore Finance" to work on the next steps?This field, when selected, will trigger an email from Financial Aid to Canadore Finance to Financial Aid to notify them of next steps.

Yes