Cancellation Form

Cancellation Form
This form is to formally cancel a student from CTE during the first two weeks of enrollment. Form can be initiated by student/staff/faculty. Students beyond the two-week period must use a withdrawal/drop form.
Today's Date*

MonthDayYear
Date
Name:*

First NameLast Name
Email*
example@example.com
Program*
Program Start Date:*

MonthDayYear
Date
I wish to cancel my enrollment as of this date:*

MonthDayYear
Date
Reason for cancelling your enrollment:*
I understand that I may request to re-enroll at any time. If I choose to re-enroll, I understand I may need to complete a new enrollment agreement, complete new paperwork with Financial Aid, and attend orientation prior to being able to start. If I receive funding support from a third party, I must get their approval before being eligible to re-enroll into school.
Signature*

Clear
Date Signed:*

MonthDayYear
Date
Authorized School Official

Clear
Date Signed:

MonthDayYear
Date
Financial Aid Office:
Date Processed in FAME:

MonthDayYear
Date
Registrar Office:
Remove Fame attendance (review if COS)Note / Re-grouped - FAMENotification e-mailAdjust Qtr / CPL / RotationScan to COS if applicable
Date

MonthDayYear
Date
Completed by COS Staff
COS cancel - State site
Date

MonthDayYear
Date
CTE Form 180

1.6.21
Should be Empty: