Full Withdrawal Form

_{Withdrawal Policy and Procedure}

NCCC is required to follow State University of New York (SUNY) policy for Refunds of Tuition, Fees, and Other Charges. Consult the NCCC Catalog for detailed information. Withdrawing from classes, even for medical reasons, may leave you with financial responsibilities. If you are not a Financial Aid recipient, please contact the Business Office at 518-891-2915, extension 1688. Withdrawing from one or more of your classes may mean you lose all or a portion of your Title IV Financial Aid eligibility for the current and/or next semester. If you are a Financial Aid recipient, it is important that you discuss your situation with their office and check with the Business Office about your partial liability.

If you are withdrawing from all your classes, you must follow the steps below:

♦ Speak to your academic advisor and complete the withdrawal form
♦ Speak to the Business Office and Financial Aid Office
♦ If the withdrawal decision is due to medical reasons, you must provide documentation from your physician that you could not attend classes during the semester indicated.
♦ Submit the documentation along with the Withdrawal form to the Vice President for Academic Affairs Office. Withdrawal will not be processed until all documentation is submitted.

If you choose to return to North Country Community College you will need to re-apply to the college. You may do so either on-line or at any of the three campus locations.

_{A copy of this will be emailed to the Registrar's office, Financial Aid & Business
Office}

If you see this don't fill out this input box.

First Name*

Middle Initial

Last Name*

E-mail Address*

Semester*

Withdrawal Type*

Reason for Withdrawal*

Do you intend to return for the next semester?

Verification

I am the individual submitting this full withdrawal form.

to withdraw from all classes for the semester. I have read and fully understand the Withdrawal Policy and Procedure as explained above.

Signature*Enter your full name.

Date*Enter today's Date

Full Withdrawal Form

Withdrawal Policy and Procedure

A copy of this will be emailed to the Registrar's office, Financial Aid & Business Office

_{Withdrawal Policy and Procedure}

_{A copy of this will be emailed to the Registrar's office, Financial Aid & Business
Office}