Student Course Drop/Withdrawal Form
This form is to be used when the student needs to withdraw from one or more courses after the schedule adjustment period. Drops are
eligible for a 75% tuition refund. Withdrawals are not eligible for any type of tuition refund. Signatures and last date of attendance are
required. Please print all other information.
I. Student & Course Information
Student ID No. Last Name First Name Middle Initial Semester/Year
II. Withdrawal Reasons ( Please select one reason only.)
Academic performance Moving
Employment Military enlistment/deployment
Health and/or family Program change
Financial Documented Medical
Enrolled in another school Other __________________________________________
___________________________________________________ _____________________________________
Student’s Signature Date
III. Financial Aid, Veterans Affairs, Athletics, International Students Counseling
Are you receiving financial aid (grants, scholarships, and loans)? If checked, this section is required.
Are you receiving VA educational benefits? If checked, this section is required.
Are you a student-athlete at GTCC? If checked, this section is required.
Are you an International Student (F1 Visa)? If checked, this section is required. You must have approval from International Advisor.
Are you a High School Student? HS Students are required to meet with the HS Liaison (Linda Whitlow).
Financial aid and Veteran students are required to discuss withdrawals with a Financial Aid Advisor before
submitting this form.
a. Students who receive financial aid and withdraw from all classes before completing more than 60% of the enrollment period must
have their aid adjusted by federal regulation. This may leave an outstanding balance on your tuition account.
b. Receipt of financial aid in future semesters may be affected by your withdrawal.
_______________ _______________ ______________ ____________ _______________________ ____________
Athletics Office FA Office VA Office HS Liaison International Student Office Date
IV. Enrollment Services
After completing the form and obtaining the appropriate signatures, submit to Enrollment Services, Medlin Campus Center, Jamestown
Campus, or Greensboro Campus the Academic Advising Office, CEC Building, Room 132 and on the High Point Campus H-1 Building,
Room 133-D.
Received by: _________________________________________ Date: ___________________________
Processed by: _________________________________________ Date: ____________________________
Course Course Section
Prefix No. Number
Instructor’s Signature: (Student Success
Center only last week of withdrawal period)
Last Date of
Attendance (VA Only)
Rev. 11/16
click to sign
click to edit
State Refund Policy
Tuion Refunds:
(1) A refund shall not be made except under the following circumstances:
(A) A 100 percent refund shall be made if the student ocially withdraws prior to the rst day of class (es) of the academic semes-
ter or term as noted in the college calendar. Also, a student is eligible for a 100 percent refund if the class in which the student
is ocially registered is cancelled due to insucient enrollment.
(B) A 75 percent refund shall be made if the student ocially withdraws from the class (es) prior to or on the ocial 10 percent
point (census date) of the semester.
(C) For classes beginning at mes other than the rst week (seven calendar days) of the semester a 100 percent refund shall be
made if the student ocially withdraws from the class prior to the rst class meeng. A 75 percent refund shall be made if the
student ocially withdraws from the class prior to or on the 10 percent point of (census date) the class.
(D) A 100 percent refund shall be made if the student ocially withdraws from a contact hour class prior to the rst day of class of
the academic semester or term or if the college cancels the class. A 75 percent refund shall be made if the student ocially
withdraws from a contact hour class on or before the 10th calendar day (census date) of the class.
(2) To comply with applicable federal regulaons regarding refunds, federal regulaons supersede the state refund regulaons stated in
this Rule.
(3) Where a student, having paid the required tuion for a semester, dies during that semester (prior to or on the last day of examina-
ons of the college the student was aending), all tuion and fees for that semester may be refunded to the estate of the deceased.
(4) For a class (es) which the college collects receipts which are not required to be deposited into the State Treasury account, the col-
lege shall adopt local refund policies. (The State refund policy is followed.)
Military Tuion Refund. Upon request of the student, each college shall:
(1) Grant a full refund of tuion and fees to military reserve and Naonal Guard personnel called to acve duty or acve duty personnel
who have received temporary or permanent reassignments as a result of military operaons then taking place outside the state of
North Carolina that make it impossible for them to complete their course requirements; and
(2) Buy back textbooks through the colleges' bookstore operaons to the extent possible. Colleges shall use distance learning technolo-
gies and other educaonal methodologies to help these students, under the guidance of faculty and administrave sta, complete
their course requirements.
Other fees, such as shop/lab/clinic fees, physical educaon fee, campus access/parking/security fee, computer use/technology fee,
student acvity fee, student accident insurance fee, and malpracce insurance fees are not refundable aer classes start. The census
date (10 percent point) of each secon may vary and may be obtained from logging into WebAdvisor and clicking on My Class Sched-
ule. No refunds will be given to students who drop a secon aer the census date of the secon.
The college refund policy is established by state legislave acon and therefore, is subject to change without prior noce to students.
Please allow 6 to 8 weeks for refunds.
Financial Aid Refund Policy
The Higher Educaon Amendments of 1998 prescribes the requirement for calculang the amount of aid a student and school can retain
when the student totally withdraws from all classes. Students who withdraw from all classes prior to compleng 60% of the semester
will have their eligibility for aid recalculated based on the percent of the semester completed. For example, a student who withdraws
compleng only 30% of the term will have "earned" only 30% of any Title IV aid received. The remaining 70% must be returned by the
school and/or the student. The Financial Aid Oce encourages you to read a complete copy of this policy carefully. It is available on our
website. If you are thinking about withdrawing from all classes PRIOR to compleng 60% of the semester, you should contact the
Financial Aid Oce to see how your withdrawal will aect your nancial aid.
It is very important that you ask quesons, examine your schedule carefully, and TAKE RESPONSIBILITY for your schedule!
Check campus locaon where your classes are oered— be sure it is where you want to be.
If you schedule classes on more than one campus— make sure you have me between classes to travel between campuses.
If you need to DROP and ADD during the schedule adjustment period, you must do so in one registraon session. That is the only
way, your new class and your old class (if the number of credit hours is the same) will not result in you owing the addional money.
Please make sure to ask quesons and carefully examine your schedule. Failing to assume responsibility for your schedule could
result in unwanted nancial penales.
Important Notes:
Do not sign up for more classes than wanted with the intent to drop some aer aending the rst day of class.
Dropping on or aer the rst day of class will result in a 25% tuion refund penalty.
Accounts referred to a third party for collecon are subject to applicable collecon fees. Rev. 10/2016