222 ST. PATRICK STREET, TORONTO, ONTARIO, CANADA REVISED NOVEMBER 2020
Please ensure that you have read and understood the Withdrawal Policy on our website prior to submitting
this form. This form requires your signature. You may email with a digital signature, or scan and email to
ce@michener.ca
.
STUDENT INFORMATION
First Name:
Last Name:
Phone #:
Student #
or DOB:
E-mail Address:
Today’s Date:
Course Code:
Course Title:
Registration Date:
Start Date:
Tuition Fee:
Signature:
WITHDRAWAL AND REFUND DEADLINES
CE Course Type
Deadline
Refund
Grade
Online Continuous Enrolment
Prior to receiving online access Refund minus $75 none
Within 6 months of receiving online access No Refund W
After 6 months of receiving online access No Refund WF
Online Fixed Enrolment
Prior to receiving online access Refund minus $75 none
Between start date and course mid-point No Refund W
After course mid-point No Refund WF
Live/Virtual Workshops/Seminars
Up to 2 weeks before course start date
Refund minus $75
BLS Refund minus $15
none
Up to 4 days before the course start date No Refund/Transfer Allowed none
Within 4 days of course start date No Refund/No Transfer none
After the start date No Refund none
Hybrid Workshops Please see the Withdrawal & Transfer Policies on our website
**W = Withdrawal WF = Withdrawal Fail
If eligible for a refund, a $75 service charge will be applied; $15 for BLS courses. For security reasons, the refund will
be applied to the original method of payment. We cannot apply the credit to a different account. Refunds
require a minimum of 2 3 weeks to be processed.
OFFICE USE ONLY
STEP 1:
Power Campus investigation completed & attached
Registrar Notes:
STEP 2:
No Refund/Credit OR
Tuition Credit or Not Applicable
Tuition Refund or Not Applicable
CE Approval/date: ______________________________
STEP 3:
Transaction completed in Power Campus & noted
Refund processed if applicable date: ________
Student & CE Notified (and RO Finance if refund)
Completed by/date: _____________________________
Calculation:
Refund/Credit amount _________________
Withdrawal Request Form for Continuing Education Courses
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signature
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