Fillable College Withdrawal Form

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College Withdrawal Form

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Country of origin: US
File type: PDF

U.S.A. forms for State University of New York College of Agriculture and Technology at Cobleskill

BROWSE STATE UNIVERSITY OF NEW YORK COLLEGE OF AGRICULTURE AND TECHNOLOGY AT COBLESKILL FORMS

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OFFICIAL COLLEGE WITHDRAWAL FORM
For assistance and suggestions to aid you in formulating plans concerning your withdrawal from college, the Wellness Center
is available to serve you, now and in the future. Please consider speaking to a counselor before making a final decision.
Please refer to the College Catalog for the College refund policy. Adjustments to financial aid awards may be necessary as a
result of this withdrawal.
Last Name First Name ID Number
_______
School Major
To be considered a withdrawn student in good standing, you must satisfy all obligations to the following offices and
departments. Your college withdrawal is NOT complete until this form is returned to the Registrar’s Office bearing all of the
required signatures. Your official college withdrawal date will be the date this form is returned to the Registrar’s Office.
Office/Department
Fines
And
Damages
Other
Obligations
Signature
1. School Office
2. Director of EOP Program (EOP Students only)
3. Mailroom – Bouck Hall
4. Student Success Center
5. Residential Life Office/Assistant VP for Student
Student Development and Collegiate Life
6. CobyCard Office
7. Financial Aid Office
8. Student Accounts Office
Perkins Loan Yes No
9. Registrar’s Office:_____________________
Date Signed is Official Date of Withdrawal
Date:
Check# to Student
Date:
Check # to (Bank)
I am hereby withdrawing from SUNY Cobleskill.
Student Signature Date
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College Withdrawal Form

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Completed 16 November 2019

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