EmailMeForm
Program Withdrawal
The withdrawal form is for students who are withdrawing from their full-time program.
Canadore College is committed to your success, and we offer a range of services to support you in remaining at the college. We recognize students encounter many challenges which may prevent you from successfully focusing on your studies (example program choices, financial, personal). We want to ensure that you make the best choice given your circumstances.
Important Information
Consult the current
Important Dates and Deadlines (Here)
regarding withdrawals. The completed form must be received before the "Last Day to Withdraw from a Program with partial refund" date to qualify for any refunds.
Contact Information
Please provide the best method of communicating with you, as a member of the Student Success Services Team will be contacting you to process your request.
Student Number:
*
Full Name:
*
First
Last
Address:
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone Number:
*
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Email:
*
Program of Study:
*
Campus:
*
Current Semester of Study:
*
Do you intend to:
*
Withdraw Immediately
Withdraw at End of Semester
Do you intend to return to Canadore in the future?
*
Yes
No
If yes, when and for what program?
*
Reason for withdrawal:
*
Academic reasons
Non-Academic reasons
Are you an OSAP recipient?
*
No
Yes
If yes, have you spoken with Financial Aid about possible restrictions that could affect your future OSAP funding as a result of this withdrawal?
Are you Domestic or International student?
*
Domestic Student
International Student
View the Refund Policy for Domestic Students
View the Refund Policy for International Students
By checking this box, I acknowledge that I have read and understand the refund policy
Disclaimer: Failure to provide accurate contact information will prevent Student Success Services from contacting you to finalize your withdrawal request.
Signature
Clear
By inserting your name on this form, you consent to program withdrawal indicated above.