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International Students Program Withdrawal Form Withdrawal for Academic Semester Fall Semester ABOUT YOURSELF Blue - International Education Yellow - Accounts Receivable Pink Student Copy Goldenrod Student Relations Winter Semester Summer Semester Student Number Last Name First Name Middle Name Address City and Province Postal Code Telephone Number Cell Number Email Address YOU MUST COMPLETE THE FOLLOWING INFORMATION I WISH TO WITHDRAW FROM THE FOLLOWING PROGRAM CAMPUS Progress Ashtonbee HP Morningside Centre for Creative Communications CCC CHOOSE REASONS FOR WITHDRAWAL Academic Program does not meet expectations Academic difficulty Transfer to other college or university Family Health VISA Denial Other IMPORTANT you must make an appointment to see either an International Manager or International Student Advisor and receive an approval prior to withdrawal. PLEASE COMPLETE AND SIGN I have paid in advance for the next semester I am returning next semester I have advised my Academic Advisor / Program Coordinator on Withdrawal Obtain signature from the Learning Resource Centre LRC Yes No x LRC Signature I am aware of the withdrawal deadlines listed in the current Important Dates calendar of academic dates and I recognize that I am responsible for returning any college property that I might have in my possession. I also understand that this information is collected under the legal authority of the College and Universities Act R.S.O. 1980 Reg 640 and is used by the College for processing withdrawals. Any inquiries about this authorization may be directed to Enrolment Services Centennial College. International Students Program Withdrawal Form Withdrawal for Academic Semester Fall Semester ABOUT YOURSELF Blue - International Education Yellow - Accounts Receivable Pink Student Copy Goldenrod Student Relations Winter Semester Summer Semester Student Number Last Name First Name Middle Name Address City and Province Postal Code Telephone Number Cell Number Email Address YOU MUST COMPLETE THE FOLLOWING INFORMATION I WISH TO WITHDRAW FROM THE FOLLOWING PROGRAM CAMPUS Progress Ashtonbee HP Morningside Centre for Creative Communications CCC CHOOSE REASONS FOR WITHDRAWAL Academic Program does not meet expectations Academic difficulty Transfer to other college or university Family Health VISA Denial Other IMPORTANT you must make an appointment to see either an International Manager or International Student Advisor and receive an approval prior to withdrawal* PLEASE COMPLETE AND SIGN I have paid in advance for the next semester I am returning next semester I have advised my Academic Advisor / Program Coordinator on Withdrawal Obtain signature from the Learning Resource Centre LRC Yes No x LRC Signature I am aware of the withdrawal deadlines listed in the current Important Dates calendar of academic dates and I recognize that I am responsible for returning any college property that I might have in my possession* I also understand that this information is collected under the legal authority of the College and Universities Act R*S*O.

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