student financial services
20192020 INTENT TO RETURN
TO SCHOOL
According to federal regulations, a withdrawal for the purposes of Title IV is defined as when “a student
ceases attendance at any point prior to completing the payment period or period of enrollment, unless the
student provides to the school a written confirmation at the time of the withdrawal that he or she will attend
a module/session that begins later in the same payment period or period of enrollment (semester).
Please complete this form and return to the Student Financial Services Office at the Airport, Beltline, or
Northeast campus.
If you require assistance or have questions in regard to this form, please visit one of the Student
Financial Services offices or contact us at 803.738.7792.
Name MTC ID
FALL 2019 SPRING 2020 SUMMER 2020
WHAT SESSION(S) ARE YOU COMPLETELY WITHDRAWING FROM?
o 2019 Full Fall
o 2019 FA1 (1st Session)
o 2019 FA6 (Fast Track I)
o 2019 FAW (Weekend)
o 2019 FA5 (10 Week)
o 2019 FA2 (2nd Session)
o 2020 Full Spring
o 2020 SP1 (1st Session)
o 2020 SP6 (Fast Track I)
o 2020 SPW (Weekend)
o 2020 SP5 (10 Week)
o 2020 SP2 (2nd Session)
o Full Summer 2020
o SU1 (1st Session) 2020
o SU3 (Ft. Jackson) 2020
o 2020 SUW (Weekend)
o 2020 SU8 (7 Week)
o 2020 SU2 (2nd Session)
o 2020 SU6 (Fast Track)
DO YOU PLAN TO ATTEND A FUTURE SESSION WITHIN THIS PERIOD OF ENROLLMENT?
 o Yes o No
IF YES, WHAT SESSION(S) DO YOU INTEND TO RETURN TO SCHOOL?
o 2019 Full Fall
o 2019 FA1 (1st Session)
o 2019 FA6 (Fast Track I)
o 2019 FAW (Weekend)
o 2019 FA5 (10 Week)
o 2019 FA2 (2nd Session)
o 2020 Full Spring
o 2020 SP1 (1st Session)
o 2020 SP6 (Fast Track I)
o 2020 SPW (Weekend)
o 2020 SP5 (10 Week)
o 2020 SP2 (2nd Session)
o Full Summer 2020
o SU1 (1st Session) 2020
o SU3 (Ft. Jackson) 2020
o 2020 SUW (Weekend)
o 2020 SU8 (7 Week)
o 2020 SU2 (2nd Session)
o 2020 SU6 (Fast Track)
Signature Date
midlandstech.edu
i
PO Box 2408
i
Columbia, SC 29202
i
803.738.7792
SD-19-6198-12-19
o o o
click to sign
signature
click to edit
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