Withdrawal/Transfer Form

Transferring to another program may require an additional application dependent on the program and may not allow for transferable credits/courses. Ensure you have connected to the administrator regarding the specifics of transferring/withdrawing from a program.

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Are you requesting to withdraw or transfer? *

Withdraw permanently
Withdraw termporarily
Transfer

Which program are you requesting to withdraw/transfer from? (copy) *

Therapeutic Herbal Medicine
CEOLC
Online Program
Other

If 'Other/Online" please specify below

If transferring, which program are you requesting to transfer to?

What Year are you enrolled in? *

If applicable, which term are you withdrawing/transferring from?

Current Term
Future Term

If applicable to your program, what terms are affected by your withdrawal?

Current Term Only
Future Term

If applicable, are you enrolled in full/part time studies?

Fulltime
Parttime

Tuition Fees Paid to date for the current study period or program: *

Do you currently have any outstanding tuition or administrative fees owing? *

Reason for Withdrawal: *

Financial
Employment Obligations
Personal/Health
Other

Additional Information: Please state any additional information you would like to share about your withdrawal/transfer request

Declaration *

Agreed

I understand that submission of this form does not automatically secure withdrawal approval without any penalties - academic or financial. Students are responsible for reviewing the Refund & Academic Policies before submitting this form.