Continuing your education is a big decision. You want to be sure that you are making the right choice for your future. At Fanshawe College, we know that continuing your education is an important step in your life and we want to make sure that you have all the information you need to make decisions about your future. That's why we have put together this guide to our Continuing Education program. In it, you will find information about how our Continuing Education programs work, what courses are available and how to apply. We hope that this guide will help you decide if continuing your education at Fanshawe College is right for you! found on: http://www.fanshawec.ca/continuing-education/guide/ checked 8 Dec 2016
| Question | Answer |
|---|---|
| Form Name | Fanshawe Continuing Education Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | aig withdrawal form, college withdraw from class templete, withdrawal from texas school forms, clinical opiate withdrawal scale form |
STUDENT WITHDRAWAL FORM
Continuing Education Courses
Office of the Registrar [Rm. E1012]
Fax #:
In order to withdraw from a Continuing Education course at Fanshawe College, the student must complete Section ‘A’ of this application and submit it to the Office of the Registrar [Room E1012]. The withdrawal is effective the date the information is received in the Office of the Registrar.
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Section A |
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Student Number: |
____________________________ |
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Student’s Name: |
__________________________________________________________________________________ |
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Surname |
First Name |
Middle Name |
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Telephone #: [Home] ( __ __ __ ) __ __ __ - __ __ __ __ |
[Business/Alternate] ( __ __ __ ) __ __ __ - __ __ __ __ |
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____________________ |
_________ |
____________ |
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Course Number |
Section [04LC] |
Regn.Term [08SCE] |
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Reason for Withdrawal: [Check one only please] |
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Financial |
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Pursue other vocational or career goals |
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Health |
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Personal |
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Other |
Graded Course? |
Yes |
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No |
Course related difficulties
Course cancelled
Details: _______________________________________________________________________________________
_______________________________________________________________________________________
I request that my registration at Fanshawe College (in the course shown above) be withdrawn. I hereby certify that I have returned all College property loaned, assigned or consigned to me while I have been registered in this course. I understand that I am responsible for fees for the course according to policy listed in the course guidebook.
Student’s Signature: ________________________________________________ Date: _____________________
FREEDOM OF INFORMATION AND PROTECTION OF INDIVIDUAL PRIVACY
The information on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002, Ontario Regulation 34/03. The information is used for administrative and statistical purposes of the college and/or the ministries and agencies of the Government of Ontario and the Government of Canada. For further information, please contact the Registrar, Fanshawe College, PO Box 7005, London, ON, N5Y 5R6, Telephone (519)
Section B – Office Use Only
Must be completed by Form Initiator: _________________________________________________________________________
Course Dates: Start Date _______________________ End Date____________________ Refund Policy__________________
Refund Deadline ________________________ Withdrawal Date ______________________________ (for graded courses only)
Refund eligibility is based on the Refund policy on the Course Section. According to College Policy
Student Withdrawal Completed by: ___________________________________ Date: ______________________
Refund Completed by: ______________________ Date: ___________________ Amount of Refund: _________________
(if applicable)
White Copy – Office of the Registrar |
Yellow Copy – Division |
2008 01 22 |