COURSE WITHDRAWAL REQUEST Course Withdrawal Form Withdrawal PolicyStudents will need to contact FinAid@vbc.edu for financial check-out before officially withdrawing. Students may withdraw from courses from the 2nd to the 9th session of a 15-week course or from the 2nd to the 4th session of an 8-week course and receive a W which does not affect the GPA. Students may withdraw from courses from the 10th to 15 session of a 15-week course or from the 5th to 8th session of an 8-week course and will receive a WP (does not affect GPA) or WF (affects GPA) based on the academic status at the time of withdrawal. The registrar will notify the student, instructor, advisor, and the financial aid office of the approved withdrawal. Refund Policy (15-week course)Drop/Add (Week 1)--100% refund / Week 2--75% refund / Week 3--50% refund / Week 4--25% refund / Thereafter--0% refund Refund Policy (8-week course)Drop/Add (Week 1)--100% refund / Week 2--50% refund / Thereafter--0% refund Today's Date* MM slash DD slash YYYY Date of Withdrawal* MM slash DD slash YYYY Student Name* Student Email* Enter Email Confirm Email Semester/Year (ex., Fall 2021)* Student Age Range* 18-24 25 and above Student Program* Undergraduate Level Graduate Level Student Degree*My major is in the following area: Ministry Education New to VBC?*I am new to VBC this semester. Yes No Federal Student Aid* I use Federal Student Aid (Pell Grant or Direct Loans). I do not use Federal Student Aid. Credit Range at Beginning of Term*How many credits were you enrolled at the beginning of the term (before withdrawing). 1-5 credits 6-8 credits 9-11 credits 12 credits and above Module*I am withdrawing from courses in the following modules: Module A Module B Module C Modules A & C Modules A, B, & C Course(s) Name*Reason for Withdrawal*Possible Reason for StayingSomething (if anything) that would have helped make the decision to remain in classFinancial Agreement*For more information about financial aid and withdrawing from courses, please email finaid@vbc.edu. I understand that I must get approval from the Financial Department BEFORE officially withdrawing by emailing FinAid@vbc.edu. I understand that I am responsible for the remaining tuition based on the refund policy and official date of withdrawal. I understand that I may have to pay back some or all of my financial aid if I withdraw from all courses even if I currently have a zero balance. I understand that withdrawing from courses may affect my future financial aid or military benefits (if applicable). Signed (type name)* Grade(s) at Time of WithdrawalPlease list your current grade(s) for the class at the time of completing this withdrawal form. Δ
