Intent to Discontinue Studies

Intent to Discontinue Studies
Today's Date*

MonthDayYear
Date
This form is for students who are certain they do not plan to return for the following academic term in which they are currently enrolled. Completion of this form will result in removal from any classes in which preregistration has been processed. Understand that once you are discontinued, you must apply for readmission and contact the Admission Office for information on the readmit process.
I, First Name Last Name will not be returning for the semester due to the following reasons (please check all boxes that apply to your situation):
I am transferringI prefer a different program of studyFinancial reasonsI prefer to be closer to homeI will be completing remaining graduation requirements elsewhereOther
Please let us know where you will be transferring
Please let us know what program of study you are seeking
Please specify
Please remove me from any classes for which I am preregistered for the next semester. I understand that offices will be notified of my intent and I will need to settle my affairs with the Student Accounts Office, Financial Aid Office and Student Life/Housing Office. I understand that failing to clear my account balance will result in my inability to obtain an official transcript.
Name

First NameLast Name
Student ID
Email
username@wvwc.edu
Phone Number

Area CodePhone Number
Are you preregistered for the next semester?
Signature

Clear
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For Office Use Only
Comments
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Date

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Processed Date

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