Drop/Withdrawal Request Form

Drop/Withdrawal Request Form

You are requesting a withdrawal from the College for Technical Education. If you are receiving aid from a funding source for going to school, you risk losing those funds once you are no longer enrolled as a student.
Name:

First NameLast Name
Email
example@example.com
ID #:
Program
Original Start Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Re-Start Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
LDA:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Drop Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please explain your reasons for wanting to withdraw from CTE:
Please note that a withdrawal from CTE does not eliminate your educational costs or financial obligations. Based on your status, you may still be required payback student loans or pay the school directly for monies owed.
Signature
Date Signed:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
For Internal Use Only:
Registrar Office
Registrar Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Financial Aid Office
Process Date
R2T4 Completed
Financial Aid:
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
COS Staff: Drop in state board site: Initial/Date
Should be Empty: