STUDENT FINANCIAL SERVICES
2020-2021
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 2020
SPRING 2021
SUMMER 2021
WHAT SESSION(S) ARE YOU COMPLETELY WITHDRAWING FROM?
2020 Full Fall
2020 FA1 (1st Session)
2020 FA6 (Fast Track I)
2020 FAW (Weekend)
2020 FA5 (10 Week)
2020 FA2 (2nd Session)
2021 Full Spring
2021 SP1 (1st Session)
2021 SP6 (Fast Track I)
2021 SPW (Weekend)
2021 SP5 (10 Week)
2021 SP2 (2nd Session)
Full Summer 2021
SU1 (1st Session) 2021
SU3 (Ft. Jackson) 2021
2021 SUW (Weekend)
2021 SU8 (7 Week)
2021 SU2 (2nd Session)
2021 SU6 (Fast Track)
DO YOU PLAN TO ATTEND A FUTURE SESSION WITHIN THIS PERIOD OF ENROLLMENT?
Yes
No
IF YES, WHAT SESSION(S) DO YOU INTEND TO RETURN TO SCHOOL?
2020 Full Fall
2020 FA1 (1st Session)
2020 FA6 (Fast Track I)
2020 FAW (Weekend)
2020 FA5 (10 Week)
2020 FA2 (2nd Session)
2021 Full Spring
2021 SP1 (1st Session)
2021 SP6 (Fast Track I)
2021 SPW (Weekend)
2021 SP5 (10 Week)
2021 SP2 (2nd Session)
Full Summer 2021
SU1 (1st Session) 2021
SU3 (Ft. Jackson) 2021
2021 SUW (Weekend)
2021 SU8 (7 Week)
2021 SU2 (2nd Session)
2021 SU6 (Fast Track)
Signature
Date
MIDLANDSTECH.EDU i PO Box 2408 i Columbia, SC 29202 i 803.738.7792
SD-20-6284I-02-20
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signature
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