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
Date
Re-Start Date:

MonthDayYear
Date
LDA:

MonthDayYear
Date
Drop Date:*

MonthDayYear
Date
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*

Clear
Date Signed:*

MonthDayYear
Date
For Internal Use Only:
Adjust Qtr/CPL/RotationNotification e-mailNote/Ungroup- FreedomScan to COS if applicable
Registrar Signature

Clear
Date

MonthDayYear
Date
Financial Aid Office
Process Date
R2T4 Completed
Financial Aid:

Clear
Date

MonthDayYear
Date
COS Staff: Drop in state board site: Initial/Date
Should be Empty: